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Anthony Petrera

NPI 1225352024 · on the registry since 2010 · sole proprietor

Practice

Address
275 N Hawthorne St
Massapequa, NY 11758
Phone
(516) 797-5360

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-03-23

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