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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 LlcInferred 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