Kimberly A Petrullo
Specialist in Staten Island, New York
1992137921- Practice location
- 116 Rustic Pl, Staten Island, NY 10308-2840
- Phone
- 917-689-4115
- Fax
- —
- Last updated
- August 1, 2013
Kimberly A Petrullo is a Specialist based in Staten Island, NY. Kimberly A Petrullo practices in Staten Island, NY. The NPI Number for Kimberly A Petrullo is 1992137921. The current practice location address for Kimberly A Petrullo is 116 Rustic Pl, Staten Island, NY 10308-2840 and can be reached out via phone at 917-689-4115.
Provider Profile Details
- NPI Number
- 1992137921
- Provider Name
- Kimberly A Petrullo
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 116 Rustic Pl, Staten Island, NY 10308-2840
- Phone Number
- 917-689-4115
- Primary Taxonomy
- Specialist · 174400000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 1, 2013
- Last Update Date
- August 1, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 116 Rustic Pl
Staten Island, NY 10308-2840 - City
- Staten Island
- State
- New York
- Zip
- 10308-2840
- Phone Number
- 917-689-4115
Provider Business Mailing Address Details
- Address
- 116 Rustic Pl
Staten Island, NY 10308-2840 - City
- Staten Island
- State
- NY
- Zip
- 10308-2840
- Phone Number
- 917-689-4115
License Information
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Specialists near Staten Island, NY
View all Specialists in Staten Island →Frequently Asked Questions
What is the NPI number of Kimberly A Petrullo?
The NPI number of Kimberly A Petrullo is 1992137921. It was assigned on August 1, 2013 and is currently active in the NPPES registry.
What is the specialty of Kimberly A Petrullo?
Kimberly A Petrullo is registered under the primary taxonomy Specialist (code 174400000X).
Where does Kimberly A Petrullo practice?
The practice location is 116 Rustic Pl, Staten Island, NY 10308-2840. The office can be reached at 917-689-4115 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1992137921 directly on the NPPES registry website.