SearchNew York163W00000X

Ketrina Peterson

NPI 1922498492 · on the registry since 2015

Practice

Address
181 W Plum St
Brentwood, NY 11717
Phone
(631) 565-5362

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-12-22

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