Organization · Type 2 NPI
Thomas C. Petrie, C.d.n.
Point of Service · Ballston Spa, NY
NPI number
1396138871
Active
Practice location
20 Washington St
Ballston Spa, NY 12020-1761
Mailing address
110 Brookline Rd, Apt. B-11
Ballston Spa, NY 12020-3527
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Point of Service Primary | 305S00000X | 003560 (NY) |
Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
About NPI 1396138871
Thomas C. Petrie, C.d.n.'s National Provider Identifier is 1396138871, issued on Mar 9, 2015. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Ballston Spa, NY. The record was last updated on Mar 9, 2015.