Petrylak, Daniel Peter

Petrylak, Daniel Peter is an individual health care provider with primary practice located at 35 Park Street, Np-4 , New Haven CT 06510-1110. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Petrylak, Daniel Peter can be contacted via phone (203) 200-4822.

Contact Information

Primary practice address
35 Park Street, Np-4 New Haven CT 06510-1110
Phone: (203) 200-4822
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 164174 New York
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 51405 Connecticut

Profile Details

NPI number 1659387306
LBN Legal business name Petrylak, Daniel Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Feb 12th, 2014 - about 11 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 1659387306 NPPES
New York MEDICAID 01412344

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