Individual
MICHAEL PETKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6511 SPRING BROOK AVE, RHINEBECK, NY 12572-3709
(845) 876-3001
Mailing address
1305 WALT WHITMAN RD STE 300, MELVILLE, NY 11747-4300
(833) 402-0575
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
764519
NY
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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