Petro, George C

Petro, George C is an individual health care provider with primary practice located at 625 Belle Terre Rd Suite 205, Port Jefferson NY 11777-2316. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Petro, George C can be contacted via phone (631) 473-4753.

Contact Information

Primary practice address
625 Belle Terre Rd Suite 205 Port Jefferson NY 11777-2316
Phone: (631) 473-4753
Fax: (631) 473-4760
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 145336 New York

Profile Details

NPI number 1427040757
LBN Legal business name Petro, George C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Jul 8th, 2007 - about 17 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 1427040757 NPPES
New York MEDICAID 00660802

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