Individual
DR. LAURA ISRAELIAN PETRAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
632 BROADWAY PH, NEW YORK, NY 10012-2614
(347) 294-3414
Mailing address
64 BLEECKER ST # 151, NEW YORK, NY 10012-2410
(347) 294-3414
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101252016
VA
207Q00000X
Family Medicine Physician
261321
MA
Other
Enumeration date
04/28/2009
Last updated
01/13/2023
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