Individual
MRS. CHERI LYN PETRARCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
270-05 76TH AVENUE, NEW HYDE PARK, NY 11040
(718) 470-7600
Mailing address
377 EASTON ST, RONKONKOMA, NY 11779-6101
(516) 449-0278
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0105701
NY
Other
Enumeration date
02/21/2007
Last updated
09/16/2014
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