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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ELLEN C PETERSON

Active Organization

ELLEN C PETERSON is a Clinical Social Worker organization located in ITHACA, New York. NPI 1265646590 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · ITHACA, NY

Registration Details

NPI Number
1265646590
Provider Type
Organization
NPI Issued
May 9, 2007 (19.275711673555 yrs)
Last Updated
Jun 24, 2008
License
PR0432461 (NY)

Practice Information

Address
402 N CAYUGA ST
ITHACA, NY, 14850
Browse NY providers · Browse ZIP 14850
Phone
6072727720
Fax
6075640554
Primary Specialty
Clinical Social Worker
1041C0700X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.