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1043763386
JEAN MARIE PETERSON
STONY BROOK, NY
NPI
1043763386
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner Adult Health
(Licence: NY 307876)
Enumeration Date
2016-08-03
Last Update Date
2017-04-06
Business Address
JEAN MARIE PETERSON AGNP-C
STONY BROOK MEDICINE HSC DEPT OF UROLOGY ROOM 040 LEVEL 9
STONY BROOK, NY 11794-8093
Phone number: 631-444-6270
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Mailing Address
JEAN MARIE PETERSON AGNP-C
120 DIVISION AVE
WEST SAYVILLE, NY 11796-1303
Phone number: 631-750-1523
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