National Provider Identifier
Nils W Peterson, MD
Nils W Peterson, MD is listed in the NPPES registry with a primary specialty of Otolaryngology Physician in Elmira, NY and a listed phone number of (607) 734-1581.
Profile Overview
- NPI
- 1386684488
- Provider Type
- Individual
- Primary Specialty
- Otolaryngology Physician
- Enumeration Date
- June 07, 2006
- Last Updated
- April 16, 2014
Practice Location
- 200 Madison Ave
- Elmira, NY 14901-3218
Phone: (607) 734-1581
Mailing Address
- 722 W Water St
- Elmira, NY 14905-2435
Specialties
- Otolaryngology Physician (207Y00000X)
Full Record
- NPI
- 1386684488
- Entity Type
- Individual
- Last Name
- Peterson
- First Name
- Nils
- Middle Name
- W
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 722 W Water St
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14905-2435
- Mailing Country
- US
- Mailing Phone
- (607) 271-2093
- Mailing Fax
- (607) 271-2099
- Practice Street Address
- 200 Madison Ave
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14901-3218
- Practice Country
- US
- Practice Phone
- (607) 734-1581
- Practice Fax
- (607) 767-4137
- Enumeration Date
- June 07, 2006
- Last Updated
- April 16, 2014
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Otolaryngology Physician (207Y00000X)
- Other Identifiers
- 00358296 (NY)