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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARCIA PETITT

Active Sole Proprietor

Specialist · WOODSIDE, NY

Registration Details

NPI Number
1063777233
Provider Type
Individual
Gender
Female
NPI Issued
Jul 12, 2012 (13.777012352157 yrs)
Last Updated
Dec 13, 2012
License
638064041 (NY)
Sole Proprietor
Yes

Practice Information

Address
6311 QUEENS BLVD
APT B-16
WOODSIDE, NY, 113775764
Browse NY providers · Browse ZIP 11377
Phone
7184572180
Primary Specialty
Specialist
174400000X

Other Specialist Providers in WOODSIDE, NY

Name Credential NPI
DR. BRIAN T MCNEARY M.D. 1144332511
PETROS CHALKITIS OTR/L 1174778963
CYNTHIA PEREZ MSED 1477822328
MILICA VLAISAVLJEVIC 1245505569
MYRNA PAMITTAN MS 1558625160
MRS. DANIELLE RACHAEL ALPAUGH 1275874505
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.