Individual
MS. CHRISTINE PETRUNOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3620 LONG BEACH RD, OCEANSIDE, NY 11572-5705
(516) 766-3514
Mailing address
8543 107TH ST, RICHMOND HILL, NY 11418-1142
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
040786
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040786
LISCENSE
NY
Enumeration date
02/09/2008
Last updated
02/09/2008
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