Individual provider · Type 1 NPI
Mary Koslap Petraco, NP
Pediatric Nurse Practitioner · Amityville, NY
NPI number
1790795896
Active
Practice location
1080 Sunrise Highway, Maxine S Postal Tri Community Health Center
Amityville, NY 11701
Fax (631) 854-1031
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | F380420 (NY) |
Pediatric Nurse Practitioner: Definition to come...
5 other providers at this address
- Bhavani Srinivasan, MDPediatrics Physician Amityville, NY NPI 1104836295
- Chi Chu C. Hsieh, MDPediatrics Physician Amityville, NY NPI 1346250438
- Hwa Cheng Hsieh, MDInternal Medicine Physician Amityville, NY NPI 1053321133
- Kathleen Sinkin, RNDiabetes Educator Registered Nurse Amityville, NY NPI 1265755573
- Rowena M. Lobo, MDInternal Medicine Physician Amityville, NY NPI 1316957426
Other pediatric nurse practitioner providers in Amityville
About NPI 1790795896
Mary Koslap Petraco, NP's National Provider Identifier is 1790795896, issued on Aug 9, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Amityville, NY. The record was last updated on Dec 9, 2011.