Peter Fetiak

NPI 1275482838 · on the registry since 2026 · sole proprietor

Practice

Address: 80 Maple Ave Ste 201
Smithtown, NY 11787
Phone: (631) 306-4284
Organisation at this address: John H Lee Dmd Pc
Sunshine Therapy Lcsw Pc
Radiologic Health Services Mri Of Smithtown Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: 221700000X
221700000X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-01-27

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