Individual provider · Type 1 NPI

Connor Michael Peterson

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1811516214 Active

Practice location

Nyu Langone Medical Center, 550 First Ave.
New York, NY 10016

Mailing address

301 E 38th St Apt 3B
New York, NY 10016-2755

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1811516214

Connor Michael Peterson's National Provider Identifier is 1811516214, issued on Apr 15, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Apr 16, 2020.