person
Dr. Mary Koslap Petraco, NP
Pediatric Nurse Practitioner in Amityville, New York
NPI 1790795896

Mary Koslap Petraco is a Pediatric Nurse Practitioner based in Amityville, NY and is specialized in Pediatrics. Mary Koslap Petraco practices in Amityville, NY and has the professional credentials of NP. The NPI Number for Mary Koslap Petraco is 1790795896 and holds a License No. F380420 (New York).

The current practice location address for Mary Koslap Petraco is 1080 Sunrise Highway, Amityville, NY and can be reached out via phone at 631-854-1000 and via fax at 631-854-1031. You can also correspond with Mary Koslap Petraco through the mailing address at 1080 SUNRISE HIGHWAY, AMITYVILLE, NY - 11701 (mailing address contact number: 631-854-1000).

Location: 1080 Sunrise Highway, Amityville, NY, 11701
person
Provider Profile Details
NPI Number
1790795896
Provider Name
Mary Koslap Petraco
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1080 Sunrise Highway, Amityville, NY, 11701
Phone Number
631-854-1000
Fax Number
631-854-1031
Provider Enumeration Date
08/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00473170 05 NY
institution
Provider Business Practice Location Address Details
Address
1080 Sunrise Highway
City
State
Zip
11701
Phone Number
631-854-1000
Fax Number
631-854-1031
person
Provider Business Mailing Address Details
Address
1080 Sunrise Highway
City
State
Zip
11701
Phone Number
631-854-1000
Fax Number
631-854-1031
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
F380420 (New York)
Definition
Definition to come...
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