Individual
MRS. THERESA MAUREEN PETRAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 CORBETT RD, MONTGOMERY, NY 12549-2055
(845) 457-4810
Mailing address
220 CORBETT RD, MONTGOMERY, NY 12549-2055
(845) 457-4810
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
418165
NY
Other
Enumeration date
10/05/2010
Last updated
10/05/2010
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