Individual
GINA PETRELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
45 WHALEN ST, NORTH BABYLON, NY 11703-4421
(631) 422-0797
Mailing address
45 WHALEN ST, NORTH BABYLON, NY 11703-4421
(631) 422-0797
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F307381-1
NY
Other
Enumeration date
08/24/2015
Last updated
02/03/2016
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