Petrillo, Richard Louis
Petrillo, Richard Louis is an individual health care provider with primary practice located at 12 N 7Th Ave , Mount Vernon NY 10550-2026. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Petrillo, Richard Louis can be contacted via phone (914) 361-6104.Contact Information
Primary practice address
12 N 7Th Ave
Mount Vernon NY 10550-2026
Phone: (914) 361-6104
Fax: (914) 361-7441
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 085506 | New York |
Profile Details
NPI number | 1386749927 |
---|---|
LBN Legal business name | Petrillo, Richard Louis |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 14th, 2006 |
Last updated | Jul 10th, 2015 - about 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1386749927 | NPPES |
New York | MEDICAID | 00516312 |
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