Individual
MONICA A PETRISKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
530 1ST AVE, HCC 13, NEW YORK, NY 10016-6402
(212) 263-7311
Mailing address
530 1ST AVE, HCC 13, NEW YORK, NY 10016-6402
(212) 263-7311
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F305024-1
NY
363LG0600X
Gerontology Nurse Practitioner
F340728-1
NY
Other
Enumeration date
01/26/2010
Last updated
01/26/2010
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