Individual
ELIZABETH MARY PETITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1783 ROUTE 9 STE 204, HALFMOON, NY 12065-2466
(518) 371-9355
(518) 373-9139
Mailing address
711 TROY SCHENECTADY RD STE 203, LATHAM, NY 12110-2461
(518) 782-3700
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
344546
NY
Other
Enumeration date
06/19/2019
Last updated
11/30/2020
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