Brian Petersen, PSY.D

NPI 1215169818 · on the registry since 2009 · sole proprietor

Practice

Address: 412 6th Ave
#610
New York, NY 10011
Phone: (917) 621-5822
Fax: (212) 346-1530
Organisation at this address: Diane L. Esper
Speak To Connect Llc
Dr Paul Poulakos Do, Llc
Deborah Feller, Lcsw, P.C.
Dr. Paul Poulakos Do, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 35

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-08-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York