Elishama Petersen
NPI #1003682287 in Wynantskill, New York
Provider Information
- NPI Number
- 1003682287
- Entity Type
- Individual
- Name
- Elishama Petersen
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Nov 29, 2023
- Last Updated
- Nov 29, 2023
Practice Location
- Address
- 614 COOPER HILL RD
- City
- Wynantskill
- State
- New York
- ZIP Code
- 12198-2906
- Phone
- (518) 283-6500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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