Petroski, Tara Marie
Petroski, Tara Marie is an individual health care provider with primary practice located at 1425 Portland Ave # 304 , Rochester NY 14621. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is her primary health care specialty. Petroski, Tara Marie can be contacted via phone (585) 922-0866.Contact Information
Primary practice address
1425 Portland Ave # 304
Rochester NY 14621
Phone: (585) 922-0866
Fax: (585) 922-2951
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 253763-1 | New York |
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 253763 | New York |
Profile Details
NPI number | 1972769248 |
---|---|
LBN Legal business name | Petroski, Tara Marie |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 5th, 2008 |
Last updated | Jan 5th, 2023 - about last year |
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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