Individual
DR. JOHN A PETRIE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-2493
(516) 437-4167
Mailing address
575 LEXINGTON AVE, NEW YORK, NY 10087-7842
(718) 670-1651
(516) 437-4167
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
183590
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01654728
—
NY
Enumeration date
07/06/2006
Last updated
09/28/2024
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