PETERSON GERMAIN

BRONX, NY
NPI1861747602
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  654492)
Enumeration Date2012-07-18
Last Update Date2012-07-18
Business Address
-- PETERSON GERMAIN RN
2054 TILLOTSON AVE
BRONX, NY 10475-1560
Phone number: 718-671-2100
Mailing Address
-- PETERSON GERMAIN RN
2054 TILLOTSON AVE
BRONX, NY 10475-1560
Phone number: 718-671-2100