Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL JAMES PETERSEN, M.D.
Active Sole ProprietorMICHAEL JAMES PETERSEN, M.D. is a Vascular Surgery healthcare provider located in EAST SETAUKET, New York. NPI 1902899057 is currently active in the NPPES registry. Verify at CMS.
Vascular Surgery · EAST SETAUKET, NY
Registration Details
- NPI Number
- 1902899057
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 24, 2005 (20.996230593104 yrs)
- Last Updated
- Jun 6, 2016
- Licenses
-
175936 (NY)175936 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4 TECHNOLOGY DRSUITE 120EAST SETAUKET, NY, 117334068Browse NY providers · Browse ZIP 11733
- Phone
- 6312468289
- Fax
- 6312468294
- Primary Specialty
-
Vascular Surgery
2086S0129X
- Additional Specialty
- Vascular Surgery
Other Vascular Surgery Providers in EAST SETAUKET, NY
| Name | Credential | NPI |
|---|---|---|
| ANDREA J HENDRZAK | M.D. | 1689865347 |
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.