Deborah J. Peterec

Primary specialty

SpecialistTaxonomy code 174400000X

License

1771493 Issued in NY

Practice address

3901 Avoca Ave
Bethpage, NY 11714-4705

Phone

(516) 822-8026

Fax

(516) 822-8026

NPI assigned

Jun 27, 2012

Last updated

Jun 27, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340755200000",
    "number": "1932463668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 AVOCA AVE",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117144705",
            "telephone_number": "516-822-8026",
            "fax_number": "516-822-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 AVOCA AVE",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117144705",
            "telephone_number": "516-822-8026",
            "fax_number": "516-822-8026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETEREC",
        "first_name": "DEBORAH",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-27",
        "last_updated": "2012-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1771493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori-Ann Perez
• Craig Douglas Perlman, D.O.
• Daryl Perlman, D.O.
• Kara S Perlmutter, OTR/L
• Joseph Michael Persico, PT, DPT
• Peyman Zandieh, MD PC
• Preetha Phillips Joseph, DO
• Richard Picardi
• Peter T Pickering, M.D.
• Rachel Louise Piliere, LCAT

• Specialist in Bethpage, NY
• Providers in Bethpage, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.