Petrochko, Gregory

Petrochko, Gregory is an individual health care provider with primary practice located at 156 Corliss Ave Suite 107, Johnson City NY 13790-2060. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Petrochko, Gregory can be contacted via phone (607) 763-6735.

Contact Information

Primary practice address
156 Corliss Ave Suite 107 Johnson City NY 13790-2060
Phone: (607) 763-6735
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RNA143748 Maine
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 3104221 New York

Profile Details

NPI number 1790721561
LBN Legal business name Petrochko, Gregory
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Apr 27th, 2020 - about 4 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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