SearchNew York103TC0700X

Edward Petrosky, PSY.D

NPI 1962504845 · on the registry since 2006 · sole proprietor

Practice

Address
6812 Yellowstone Blvd
Aa1
Forest Hills, NY 11375
Phone
(917) 520-4444
Organisation at this address
Jeffrey Kass Dpm Pc
St Xavier Home Care Services Inc
St Xavier Home Care Services Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-09

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