Individual
DR. ELIZABETH PETRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
10 ORCHARD DR, PURCHASE, NY 10577-2205
(914) 844-6086
Mailing address
10 ORCHARD DR, PURCHASE, NY 10577-2205
(914) 844-6086
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
50052487
NY
Other
Enumeration date
04/29/2016
Last updated
04/29/2016
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