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PETER ST. GERMAIN P.T.

>> Physical Medicine & Rehabilitation >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1134202716

Individual Registrant:
 PETER  ST. GERMAIN P.T.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
4164 NY ROUTE 2  CROPSEYVILLE, NY 12052 US
Tel: 518-788-4567  Fax: 518-272-3911

Contact information for business:
8 EMPIRE DR  POESTENKILL, NY 12140-2104 US
Tel: 518-788-4567  Fax: --

Registration Information:
NPI: 1134202716
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208100000XAllopathic & Osteopathic Physicians
Physical Medicine & Rehabilitation
NY017795

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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