Individual
MS. KATHERINE A. PETRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
379 MT HOPE RD, MIDDLETOWN, NY 10940-7135
(845) 344-2292
Mailing address
8 CARROLL DR, WARWICK, NY 10990-1823
(845) 986-9766
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
335941-1
NY
Other
Enumeration date
10/14/2011
Last updated
12/13/2011
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