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NPI Code Detail

MEDICARE: PETER SIEMERS CRPA-P

MEDICARE:   PETER  SIEMERS  CRPA-P
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
1175T00000XPeer SpecialistCRPA-P-9090NY

General Provider Information

NPI Number : 1407704422
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETER SIEMERS CRPA-P
Provider Business Mailing Address
First Line : 8 CHRISTINE LN
Second Line :
City : YAPHANK
State : NY
Zip : 11980-1210
Country : US
Telephone Number : 631-806-0765
Fax Number :
Provider Business Practice Location Address
First Line : 287 SPRINGS FIREPLACE RD
Second Line :
City : EAST HAMPTON
State : NY
Zip : 11937-4823
Country : US
Telephone Number : 631-329-0373
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2026
Last Update Date : 03/17/2026

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Directions to “ PETER SIEMERS CRPA-P” Practice Location

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