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Individual
DR. GEORGE A. PETROSSIAN
Active
Individual
DR. GEORGE A. PETROSSIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
159502-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000067277
GHI/HMO PROVIDER I.D.
NY
05
—
01848737
—
NY
01
—
05405G
GHI MEDICARE (QUEENS)
NY
01
—
1047935
AETNA USHC-HMO
NY
01
—
1210804
UNITED HEALTHCARE
NY
01
—
159502 AND 28446P
HIP - PROVIDER I.D.
NY
01
—
19684
VYTRA - PROVIDER I.D.
NY
01
—
2198834
GHI/FLEX SELECT/PPO
NY
01
—
2C8634
HEALTHNET - PROVIDER I.D.
NY
01
—
3986056009
CIGNA - PROVIDER I.D.
NY
01
—
4221943
AETNA USHC - NON HMO
NY
01
—
85F031
BCBS - PROVIDER I.D.
NY
01
—
ZS068
OXFORD - PROVIDER I.D.
NY
Enumeration date
06/20/2005
Last updated
09/10/2014
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