Individual
DR. EUGENE PETRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1366 VICTORY BLVD, STATEN ISLAND, NY 10301-3907
(718) 273-3400
(718) 727-3402
Mailing address
1366 VICTORY BLVD, STATEN ISLAND, NY 10301-3907
(718) 273-3400
(718) 727-3402
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
181007
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01444086
—
NY
Enumeration date
01/06/2006
Last updated
02/08/2008
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