Petraco, John Gregg
Petraco, John Gregg is an individual health care provider with primary practice located at 118 N Country Rd , Port Jefferson NY 11777-2120. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Petraco, John Gregg can be contacted via phone (631) 471-7171.Contact Information
Primary practice address
118 N Country Rd
Port Jefferson NY 11777-2120
Phone: (631) 471-7171
Fax: (631) 473-4605
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 194289 | New York |
Profile Details
| NPI number | 1497739064 |
|---|---|
| LBN Legal business name | Petraco, John Gregg |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2005 |
| Last updated | Oct 10th, 2011 - about 13 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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