Hilary R. Petersel, MD
Individual provider Active NPI Pediatrics Physician · Haverstraw, NY
NPI 1336216613 · NPPES record last updated Oct 13, 2020
Key facts
- NPI
- 1336216613
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 236745 (NY)
- Practice address
- 48 New Main St
Haverstraw, NY 10927-1812 - Phone
- (845) 703-6999
- Fax
- (845) 703-6297
- NPI assigned
- Nov 29, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles (1 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sun River Health Inc. | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 236745 | NY | Yes |
Addresses
Primary practice location
48 New Main St
Haverstraw, NY 10927-1812
Mailing address
155 Crystal Run Rd
Middletown, NY 10941-4028
Phone (845) 703-6999
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hilary.peterselmd.p1@direct.crystalrun.nextgenshare.com | Direct |
Other providers in Haverstraw, NY
- North River Operations Assoc LLC
- Northern Riverview Health Care Center Inc
- Open Arms, Inc.
- Saroj Patel
- Aney Paul
- Shawnte Jasmine Pitts
- La'Tosha Powell
- Precision Dental of Rockland County, LLC
- Debra Ann Quinones
- R-Angels Home Health Services (HHS)
All providers in Haverstraw, NY · Pediatrics Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.