SearchNew York225100000X

Peter Joseph Petican

NPI 1629662705 · on the registry since 2021

Practice

Address
8717 52nd Ave
Elmhurst, NY 11373
Phone
(346) 402-7357
Clinicians at this address
2

Registry record

Primary taxonomy
225100000X
225100000X
Also registered as
225200000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-03-01

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