# PREPETIT MEDICAL, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528469368
- **Authorized official:** DR. PATRICK PREPETIT MD (OWNER)
- **Authorized official phone:** (917) 318-1315

## Contact information

- **Practice address:** 3170 E TREMONT AVE, BRONX, NY 10461-5766
- **Practice address phone:** (917) 318-1315
- **Mailing address:** 243 5TH AVE, \#748, NEW YORK, NY 10016-8703

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | 2545201 | NY | Yes |

## Other

- **Enumeration date:** 09/11/2014
- **Last updated:** 09/11/2014