Individual
CARLA PETRULLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1477 HYLAN BLVD, STATEN ISLAND, NY 10305-1906
(718) 979-6900
(718) 979-6940
Mailing address
6 CHAMPLAIN AVENUE, STATEN ISLAND, NY 10306-3926
(718) 987-8559
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
257940
NY
Other
Enumeration date
05/30/2017
Last updated
05/30/2017
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