Petro, George

Petro, George is an individual health care provider with primary practice located at 33-57 Harrison St , Johnson City NY 13790-2107. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Neuroradiology is his primary health care specialty. Petro, George can be contacted via phone (607) 763-6104.

Contact Information

Primary practice address
33-57 Harrison St Johnson City NY 13790-2107
Phone: (607) 763-6104
Fax: (607) 763-5148
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 154359 New York
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 154359 New York

Profile Details

NPI number 1609844547
LBN Legal business name Petro, George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Apr 18th, 2016 - 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 1609844547 NPPES
New York MEDICAID 00797851

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