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Iris M Petrillo, NP
Family Nurse Practitioner in Poughkeepsie, New York
NPI 1386837524

Iris M Petrillo is a Family Nurse Practitioner based in Poughkeepsie, NY and is specialized in Family. Iris M Petrillo practices in Poughkeepsie, NY and has the professional credentials of NP. The NPI Number for Iris M Petrillo is 1386837524 and holds a License No. 335277-1 (New York).

The current practice location address for Iris M Petrillo is 243 North Rd, Poughkeepsie, NY and can be reached out via phone at 845-471-9410 and via fax at 845-471-7943.

Location: 243 North Rd, Poughkeepsie, NY, 12601-1172
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386837524
Provider Name
Iris M Petrillo
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
243 North Rd, Poughkeepsie, NY, 12601-1172
Phone Number
845-471-9410
Fax Number
845-471-7943
Provider Enumeration Date
08/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
335277-1 01 NY NP LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
243 North Rd
City
Poughkeepsie
State
New York
Zip
12601-1172
Phone Number
845-471-9410
Fax Number
845-471-7943
person
Provider Business Mailing Address Details
Address
243 North Rd
City
Poughkeepsie
State
New York
Zip
12601-1172
Phone Number
845-471-9410
Fax Number
845-471-7943
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
335277-1 (New York)
Definition
Definition to come...
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