Petitti, Nicola

Petitti, Nicola is an individual health care provider with primary practice located at 315 S Manning Blvd Medical Imaging Department, Albany NY 12208-1707. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Petitti, Nicola can be contacted via phone (518) 525-1852.

Contact Information

Primary practice address
315 S Manning Blvd Medical Imaging Department Albany NY 12208-1707
Fax: (518) 525-1559
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 221870 New York
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 221870 New York

Profile Details

NPI number 1669464830
LBN Legal business name Petitti, Nicola
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Jun 7th, 2021 - about 3 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 1669464830 NPPES
New York MEDICAID 02164776

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