Individual
DR. CHRYSANTHE PETRAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
175 FULTON AVE STE 100, HEMPSTEAD, NY 11550-3702
(516) 292-1034
(516) 292-0565
Mailing address
700 HICKSVILLE RD, SUITE 204, BETHPAGE, NY 11714-3471
(516) 576-5812
(516) 576-5801
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
190715-1
NY
208000000X
Pediatrics Physician
Primary
190715
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187121
—
NY
Enumeration date
08/11/2006
Last updated
08/30/2022
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