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NPI Code Detail

MEDICARE: ABIGAIL PETERS

MEDICARE:   ABIGAIL  PETERS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1386576130
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABIGAIL PETERS
Provider Business Mailing Address
First Line : 54 N BRIDGE ST FL 1
Second Line :
City : POUGHKEEPSIE
State : NY
Zip : 12601-2213
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 45 READE PL
Second Line :
City : POUGHKEEPSIE
State : NY
Zip : 12601-3947
Country : US
Telephone Number : 845-454-8500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2026
Last Update Date : 06/03/2026

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Directions to “ ABIGAIL PETERS ” Practice Location

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