Individual
PAUL PETRAKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1305 YORK AVE, NEW YORK, NY 10021
(646) 962-2020
(646) 962-0602
Mailing address
1305 YORK AVE, NEW YORK, NY 10021-5663
(646) 962-2020
(646) 962-0602
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
294458
NY
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
294458
NY
Other
Enumeration date
03/14/2014
Last updated
08/03/2023
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