Petronis, Karen

Petronis, Karen is an individual health care provider with primary practice located at 47 New Scotland Ave , Albany NY 12208-3412. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Petronis, Karen can be contacted via phone (518) 262-5088.

Contact Information

Primary practice address
47 New Scotland Ave Albany NY 12208-3412
Fax: (518) 262-5400
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 430203 New York

Profile Details

NPI number 1972593846
LBN Legal business name Petronis, Karen
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 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 1972593846 NPPES
New York MEDICAID 02494755

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