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

DR. PETER JAMES PETRULIS, D.O.

Active Sole Proprietor

DR. PETER JAMES PETRULIS, D.O. is a Family Medicine healthcare provider located in STONE RIDGE, New York. NPI 1669464624 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · STONE RIDGE, NY

Registration Details

NPI Number
1669464624
Provider Type
Individual
Gender
Male
NPI Issued
Aug 16, 2005 (20.850621770037 yrs)
Last Updated
Feb 11, 2008
License
160527 (NY)
Sole Proprietor
Yes

Practice Information

Address
10 GAGNON DR
STONE RIDGE, NY, 124845120
Browse NY providers · Browse ZIP 12484
Phone
8456879933
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in STONE RIDGE, NY

Name Credential NPI
MR. ROBERT J TAYLOR MD 1023092723
ELIZABETH M GREGORY MD 1649247438
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.