TERRY PETERSON

WOODHAVEN, NY
NPI1174806764
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
(Licence: NY  332b00000x)
Enumeration Date2011-09-21
Last Update Date2011-09-21
Business Address
-- TERRY PETERSON
8625 79TH ST
WOODHAVEN, NY 11421-1103
Phone number: 917-270-5964
Mailing Address
-- TERRY PETERSON
8625 79TH ST
WOODHAVEN, NY 11421-1103
Phone number: 917-270-5964