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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386749927 NPPES
New York MEDICAID 00516312

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