Individual provider · Type 1 NPI

Marcia Petitt

Specialist · Woodside, NY

NPI number 1063777233 Active

Practice location

6311 Queens Blvd, Apt B-16
Woodside, NY 11377-5764

Call (718) 457-2180 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X638064041 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Another provider at this address

Other specialist providers in Woodside

See all in Woodside →

About NPI 1063777233

Marcia Petitt's National Provider Identifier is 1063777233, issued on Jul 12, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Woodside, NY. The record was last updated on Dec 13, 2012.