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Electra Petra, OTR

NPI 1013226075 · on the registry since 2010 · sole proprietor

Practice

Address
5030 Broadway
Suite 809
New York, NY 10034
Phone
(212) 304-0400
Organisation at this address
Royal Drugs
Sano Car, Llc
Skin District
Ready Go Usa Inc
Poder Healing Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
116

Registry record

Primary taxonomy
225XP0200X
225XP0200X
Also registered as
225X00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-09-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York