Petriello, Alfred

Petriello, Alfred is an sole proprietor health care provider with primary practice located at 12 Bennington St , East Boston MA 02128-1771. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Petriello, Alfred can be contacted via phone (617) 569-4200.

Contact Information

Primary practice address
12 Bennington St East Boston MA 02128-1771
Phone: (617) 569-4200
Fax: (617) 569-4200
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 10322 Massachusetts

Profile Details

NPI number 1992894513
LBN Legal business name Petriello, Alfred
Credentials Registered Physical Therapist (RPT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2006
Last updated Jul 29th, 2010 - about 15 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 1992894513 NPPES
Massachusetts MEDICAID 0306240

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