Petelis, Svetlana

Petelis, Svetlana is an individual health care provider with primary practice located at 210 Post Ave , Westbury NY 11590-3020. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Petelis, Svetlana can be contacted via phone (516) 876-0592.

Contact Information

Primary practice address
210 Post Ave Westbury NY 11590-3020
Phone: (516) 876-0592
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 045164 New York

Profile Details

NPI number 1326221953
LBN Legal business name Petelis, Svetlana
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2007
Last updated Dec 5th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326221953 NPPES
New York MEDICAID 01804351

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