Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KYLE VICTOR PETERSON, PA
Active Sole ProprietorMR. KYLE VICTOR PETERSON, PA is a Physician Assistant healthcare provider located in NEW YORK, New York. NPI 1528773397 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · NEW YORK, NY
Registration Details
- NPI Number
- 1528773397
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 17, 2023 (3.5604751502733 yrs)
- Last Updated
- Apr 8, 2024
- License
-
029570 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
506 LENOX AVENEW YORK, NY, 100371802Browse NY providers · Browse ZIP 10037
- Phone
- 2129391000
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in NEW YORK, NY
| Name | Credential | NPI |
|---|---|---|
| DONNA SILVERNAIL | PA | 1134126162 |
| JONATHAN FISHER | PA | 1043218282 |
| ROCCO MICHAEL RACANELLI | PA | 1073509550 |
| MS. THERESA LEE RAYMOND | PA-C | 1518954635 |
| MRS. YOLANDE THOMAS-ELLIS | PA-C | 1932197373 |
| DENISE L WINICK | PAC | 1255320073 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.