Individual
CHRISTINE PETRIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
345 E 102ND STREET, 4TH FLOOR, SUITE 401, NEW YORK, NY 10029
(212) 360-2600
Mailing address
212 E 106TH ST, NEW YORK, NY 10029-4007
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
329205
NY
208000000X
Pediatrics Physician
329205
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07957239
—
NY
Enumeration date
03/27/2020
Last updated
02/15/2025
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