Richard Petersen, is a
Pharmacist based in S Ozone Park, New York. Richard Petersen is licensed to practice in New York (license number 20341) and his current practice location is
11719 150th Ave, S Ozone Park, New York. He can be reached at his office (for appointments etc.) via phone at
(718) 843-4044.
NPI number for Richard Petersen is 1659696763 and his current mailing address is 11719 150th Ave, S Ozone Park, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1659696763.
Healthcare Provider's Profile
Full Name | Richard Petersen |
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Gender | Male |
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Speciality | Pharmacist |
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Location | 11719 150th Ave, S Ozone Park, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1659696763
- Provider Enumeration Date: 03/31/2010
- Last Update Date: 03/31/2010
Medical Identifiers
Medical identifiers for Richard Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659696763 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | 20341 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Richard Petersen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Richard Petersen, 11719 150th Ave, S Ozone Park, NY 11420-4020 Ph: () - | Richard Petersen, 11719 150th Ave, S Ozone Park, NY 11420-4020 Ph: (718) 843-4044 |
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