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

Dr. Cecil Broady Peterson, MD

Individual provider Internal Medicine Physician · NPI 1215001672

Dr. Cecil Broady Peterson, MD is an Internal Medicine Physician in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

295 Greenwich Ave Apt #3G
New York, NY 10007 Not confirmed with CMS for 16 years — call before visiting
Phone: (516) 456-1403
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 199078 (NY)

Record details

NPI number1215001672
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 20, 2006
Last updated in NPPESFebruary 4, 2010

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