Individual
MICHAEL PETTEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
269-01 76TH AVENUE, LIJMC - DEPT OF PEDIATRICS, NEW HYDE PARK, NY 11040
(718) 470-3430
Mailing address
269-01 76TH AVENUE, LIJMC - DEPT OF PEDIATRICS, NEW HYDE PARK, NY 11040
(718) 470-3430
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
147979
NY
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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