Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Bruce E Petersen, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1952564163

Dr. Bruce E Petersen, MD is a Pathology in New York, New York. Graduated from State University of New York Downstate Medical Center in 2001, 25 years ago. Practices with Icahn School of Medicine at Mount Sinai, a 2,791-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
25
Trained at
State University of New York Downstate Medical Center
Licensed in
NY
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1 Gustave L Levy Pl Dept OF Pathology
New York, NY 10029-6500
Phone: (212) 659-8143
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 234652 (NY)

Record details

NPI number1952564163
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 8, 2008
Last updated in NPPESJanuary 20, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 2001 (25 years in practice)
Group practice Icahn School Of Medicine At Mount Sinai — 2791 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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