Individual
DR. EDWARD MICHAEL PETROSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
6812 YELLOWSTONE BLVD, AA1, FOREST HILLS, NY 11375-3268
(917) 520-4444
Mailing address
14950 20TH AVE, WHITESTONE, NY 11357-3131
(917) 520-4444
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
015033-2
NY
Other
Enumeration date
09/02/2006
Last updated
07/09/2007
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