Petras, Chrysanthe

Petras, Chrysanthe is an individual health care provider with primary practice located at 175 Fulton Ave Ste 100 , Hempstead NY 11550-3702. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Petras, Chrysanthe can be contacted via phone (516) 292-1034.

Contact Information

Primary practice address
175 Fulton Ave Ste 100 Hempstead NY 11550-3702
Fax: (516) 292-0565
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X 190715-1 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 190715 New York

Profile Details

NPI number 1104837293
LBN Legal business name Petras, Chrysanthe
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Aug 30th, 2022 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1104837293 NPPES
New York MEDICAID 187121

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