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DR. CECIL BROADY PETERSON M.D.
NPI 1215001672
Internal Medicine in New York, NY

Active since November 20, 2006
295 GREENWICH AVE, APT #3G, NEW YORK, NY 10007(516) 456-1403 Get Directions Write a Review

NPPES record last updated: February 4, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Cecil Broady Peterson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CECIL BROADY PETERSON M.D. (NPI 1215001672) is an individual internal medicine provider in New York, New York, licensed in New York (199078) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1215001672
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. CECIL BROADY PETERSONCredential: M.D.
Location Address295 GREENWICH AVE, APT #3GNew York, NY 10007
Mailing Address295 Greenwich St, Apt # 3gNew York, NY 10007-1049 · (516) 456-1403
Phone(516) 456-1403
Sole ProprietorYes
Enumeration DateNovember 20, 2006
Last NPPES UpdateFebruary 4, 2010
✔ NPI 1215001672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 199078
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
295 GREENWICH AVE, New York, NY 10007
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cecil Peterson's NPI number?

The NPI number for Cecil Peterson is 1215001672. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Cecil Peterson located?

Cecil Peterson practices at 295 Greenwich Ave Apt #3g, New York, NY 10007. The listed phone number is (516) 456-1403.

What is Cecil Peterson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Cecil Peterson was last updated on February 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.