Doctor Name: | DR. ROBERTA LYNN PEETS |
NPI Number: | 1699954396 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DC |
License Number: | X009368 |
Business Practice Address: | 47 Route 25a Rocky Point, NY - 117788846 |
Business Phone Number: | 6313881188 |
Business Fax Number: | 6316422011 |
Mailing Address: | Po Box 312, PORT JEFFERSON STATION |
State: | NY |
Postal Code: | 117760312 |
Phone Number: | 6313881188 |
Fax Number: | |
NPI Enumeration Date: | 10/30/2007 |
NPI Last Update Date: | 03/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | X009368 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |