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Individual
DR. JENNIFER N PETRAS
Active
Individual
DR. JENNIFER N PETRAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
226290
NY
2084P0800X
Psychiatry Physician
226290
NY
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
226290
NY
Other
Enumeration date
07/21/2006
Last updated
08/25/2011
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