| D T Peterson Dpm Pc | |
|
8029 Jericho Tpke, Woodbury, NY 11797-1212 | |
| (516) 496-0900 | |
| (516) 496-0901 |
| Full Name | D T Peterson Dpm Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot Surgery |
| Location | 8029 Jericho Tpke, Woodbury, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376845669 | NPI | - | NPPES |
| 01349628-3 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0131X | Podiatrist - Foot Surgery | N004585 (New York) | Primary |
| Provider Name | Owen J Mccrudden |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1285641886 PECOS PAC ID: 5890778187 Enrollment ID: I20040608001376 |
| Provider Name | Donald Peterson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1649206558 PECOS PAC ID: 9931311230 Enrollment ID: I20110228000280 |
| Mailing Address | Practice Location Address |
|---|---|
| D T Peterson Dpm Pc 8029 Jericho Tpke, Woodbury, NY 11797-1212 Ph: (516) 496-0900 | D T Peterson Dpm Pc 8029 Jericho Tpke, Woodbury, NY 11797-1212 Ph: (516) 496-0900 |
Dr. Owen James Mccrudden, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 8029 Jericho Tpke, Woodbury, NY 11797 Phone: 516-496-0900 Fax: 516-496-0901 | |
Owen Mccrudden Dpm, Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 8029 Jericho Tpke, Woodbury, NY 11797 Phone: 516-496-0900 Fax: 516-496-0901 | |
D.t. Peterson, Dpm, Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 8029 Jericho Tpke, Woodbury, NY 11797 Phone: 516-496-0900 Fax: 516-496-0901 | |
Plainview Podiatry Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 20 Crossways Park Dr N Ste 304, Woodbury, NY 11797 Phone: 516-681-8866 Fax: 516-226-1213 | |
Dr. Donald Thorgeir Peterson, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 8029 Jericho Tpke, Woodbury, NY 11797 Phone: 516-496-0900 Fax: 516-496-0901 | |
Dr. Gary Richard Blank, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 41 Juneau Blvd, Woodbury, NY 11797 Phone: 516-367-3881 Fax: 516-367-3881 |