Individual provider · Type 1 NPI

Keisha Petitmot

Specialist · Forest Hills, NY

NPI number 1336504497 Active

Practice location

7000 Austin St
Forest Hills, NY 11375-1022

Call (347) 620-6884 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

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.

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About NPI 1336504497

Keisha Petitmot's National Provider Identifier is 1336504497, issued on Dec 16, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Forest Hills, NY. The record was last updated on Jan 12, 2016.