Individual provider · Type 1 NPI
Konstantin Petrov
Psychiatric/Mental Health Nurse Practitioner · Brooklyn, NY
NPI number
1316822158
Active
Practice location
1348 Troy Ave Apt 3
Brooklyn, NY 11203-5733
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | F407367 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1316822158
Konstantin Petrov's National Provider Identifier is 1316822158, issued on Aug 11, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Brooklyn, NY. The record was last updated on Aug 11, 2025.