Petrossian, George A.

Petrossian, George A. is an sole proprietor health care provider with primary practice located at 1405 Old Northern Blvd , Roslyn NY 11576-2252. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Petrossian, George A. can be contacted via phone (516) 484-6777.

Contact Information

Primary practice address
1405 Old Northern Blvd Roslyn NY 11576-2252
Phone: (516) 484-6777
Fax: (516) 484-0037
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 159502-1 New York

Profile Details

NPI number 1821093444
LBN Legal business name Petrossian, George A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2005
Last updated Sep 10th, 2014 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1821093444 NPPES
New York Other 1047935 AETNA USHC-HMO
New York Other 2198834 AETNA USHC-HMO
New York Other 85F031 AETNA USHC-HMO
New York Other 159502 AND 28446P AETNA USHC-HMO
New York Other 4221943 AETNA USHC-HMO
New York Other ZS068 AETNA USHC-HMO
New York Other 000000067277 AETNA USHC-HMO
New York Other 1210804 AETNA USHC-HMO
New York Other 2C8634 AETNA USHC-HMO
New York Other 05405G AETNA USHC-HMO
New York Other 19684 AETNA USHC-HMO
New York MEDICAID 01848737 AETNA USHC-HMO
New York Other 3986056009 AETNA USHC-HMO

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