Individual
DR. DEBRA A PETRUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4 LAFAYETTE CT, FISHKILL, NY 12524
(845) 896-9200
(203) 622-1240
Mailing address
4 LAFAYETTE CT, FISHKILL, NY 12524-3036
(845) 896-9200
(203) 622-1240
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
190465
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190465
NY STATE LICENSE
NY
Enumeration date
06/15/2006
Last updated
05/20/2024
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