person
Dr. George A. Petrossian, MD
Specialist in Roslyn, New York
NPI 1821093444

George A. Petrossian is a Specialist based in Philadelphia, NY. George A. Petrossian practices in Roslyn, NY and has the professional credentials of MD. The NPI Number for George A. Petrossian is 1821093444 and holds a License No. 159502-1 (New York).

The current practice location address for George A. Petrossian is 1405 Old Northern Blvd, Roslyn, NY and can be reached out via phone at 516-484-6777 and via fax at 516-484-0037.

Location: 1405 Old Northern Blvd, Roslyn, NY, 19195-6600
person
Provider Profile Details
NPI Number
1821093444
Provider Name
George A. Petrossian
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1405 Old Northern Blvd, Roslyn, NY, 19195-6600
Phone Number
516-484-6777
Fax Number
516-484-0037
Provider Enumeration Date
06/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1047935 01 NY AETNA USHC-HMO
2198834 01 NY GHI/FLEX SELECT/PPO
85F031 01 NY BCBS - PROVIDER I.D.
159502 AND 28446P 01 NY HIP - PROVIDER I.D.
4221943 01 NY AETNA USHC - NON HMO
ZS068 01 NY OXFORD - PROVIDER I.D.
000000067277 01 NY GHI/HMO PROVIDER I.D.
1210804 01 NY UNITED HEALTHCARE
2C8634 01 NY HEALTHNET - PROVIDER I.D.
05405G 01 NY GHI MEDICARE (QUEENS)
19684 01 NY VYTRA - PROVIDER I.D.
01848737 05 NY
3986056009 01 NY CIGNA - PROVIDER I.D.
institution
Provider Business Practice Location Address Details
Address
1405 Old Northern Blvd
City
State
Zip
11576-2252
Phone Number
516-484-6777
Fax Number
516-484-0037
person
Provider Business Mailing Address Details
Address
1405 Old Northern Blvd
City
State
Zip
11576-2252
Phone Number
516-484-6777
Fax Number
516-484-0037
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
159502-1 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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