Petrakis, Ismene
Petrakis, Ismene is an individual health care provider with primary practice located at 950 Campbell Ave # 116A , West Haven CT 06516-2770. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Petrakis, Ismene can be contacted via phone (203) 932-5711.Contact Information
Primary practice address
950 Campbell Ave # 116A
West Haven CT 06516-2770
Phone: (203) 932-5711
Fax: (203) 937-4791
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 030075 | Connecticut |
| Allopathic & Osteopathic Physicians / Addiction Psychiatry | 2084P0802X | 030075 | Connecticut |
Profile Details
| NPI number | 1295826626 |
|---|---|
| LBN Legal business name | Petrakis, Ismene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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