Individual
DR. CARMINE BRIAN PETRACCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1021 PARK AVE, NEW YORK, NY 10028-0959
(212) 996-3200
Mailing address
1021 PARK AVE, NEW YORK, NY 10028-0959
(212) 996-3200
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
186351
NY
Other
Enumeration date
08/12/2006
Last updated
07/08/2007
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