Michael Petronko

NPI 1851553028 · on the registry since 2008 · sole proprietor

Practice

Address: 26 Linden Ave
Suite 205-A
Springfield, NJ 07081
Phone: (973) 258-1515
Organisation at this address: Robin S Shimel Lcsw Psychotherapy Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Licence states on file: NJ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-06-30

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 Jersey