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Individual

ULIANA PETROVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8 ALBERTA CT, SMITHTOWN, NY 11787-4709
(631) 599-1765
Mailing address
8 ALBERTA CT, SMITHTOWN, NY 11787-4709
(631) 599-1765

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F383292
NY

Other

Enumeration date
09/14/2021
Last updated
09/14/2021
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