Individual provider · Type 1 NPI

Theresa Maureen Petrakis

Home Health Registered Nurse · Montgomery, NY

NPI number 1265741441 Active

Practice location

220 Corbett Rd
Montgomery, NY 12549-2055

Specialties and licenses

TaxonomyCodeLicense
Home Health Registered Nurse Primary 163WH0200X418165 (NY)

Home Health Registered Nurse: Definition to come...

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About NPI 1265741441

Theresa Maureen Petrakis's National Provider Identifier is 1265741441, issued on Oct 5, 2010. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in Montgomery, NY. The record was last updated on Oct 5, 2010.