Petrocelli, Justin Michael
Petrocelli, Justin Michael is an individual health care provider with primary practice located at 1615 Northern Blvd Ste 106 , Manhasset NY 11030-3033. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Petrocelli, Justin Michael can be contacted via phone (516) 365-2500.Contact Information
Primary practice address
1615 Northern Blvd Ste 106
Manhasset NY 11030-3033
Phone: (516) 365-2500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | New York |
Profile Details
| NPI number | 1154558856 |
|---|---|
| LBN Legal business name | Petrocelli, Justin Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2009 |
| Last updated | Jul 21st, 2022 - about 4 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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