Marcia Petitt

NPI 1063777233 · on the registry since 2012 · sole proprietor

Practice

Address: 6311 Queens Blvd
Apt B-16
Woodside, NY 11377
Phone: (718) 457-2180
Organisation at this address: Liana Gls Inc
Citywide Auto Inc
E Zappi Dermatopathology Lab Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: Specialist
174400000X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-12-13

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