Individual
BARBARA ANN PETTENON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
5645 MAIN ST, CARDIAC CATH. LAB, FLUSHING, NY 11355-5045
(718) 670-1000
(516) 437-4167
Mailing address
5645 MAIN ST, CARDIAC CATH. LAB, FLUSHING, NY 11355-5045
(718) 670-1000
(516) 437-4167
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F303853
NY
Other
Enumeration date
10/17/2008
Last updated
10/17/2008
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