Petrillo, Iris M

Petrillo, Iris M is an individual health care provider with primary practice located at 243 North Rd Suite 304, Poughkeepsie NY 12601-1172. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Petrillo, Iris M can be contacted via phone (845) 471-9410.

Contact Information

Primary practice address
243 North Rd Suite 304 Poughkeepsie NY 12601-1172
Phone: (845) 471-9410
Fax: (845) 471-7943
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 335277-1 New York

Profile Details

NPI number 1386837524
LBN Legal business name Petrillo, Iris M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2007
Last updated Aug 21st, 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 1386837524 NPPES
New York Other 335277-1 NP LICENSE NUMBER

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