Individual provider · Type 1 NPI

John Gregg Petraco, MD

Obstetrics & Gynecology Physician · Port Jefferson, NY

NPI number 1497739064 Active

Practice location

118 N Country Rd
Port Jefferson, NY 11777-2120

Fax (631) 473-4605

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician Primary 207V00000X194289 (NY)

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

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About NPI 1497739064

John Gregg Petraco, MD's National Provider Identifier is 1497739064, issued on Dec 6, 2005. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Port Jefferson, NY. The record was last updated on Oct 10, 2011.