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

DR. MICHAEL PETELIS, DO

Active

DR. MICHAEL PETELIS, DO is a Family Medicine healthcare provider located in MINEOLA, New York. NPI 1699861237 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · MINEOLA, NY

Registration Details

NPI Number
1699861237
Provider Type
Individual
Gender
Male
NPI Issued
Oct 4, 2006 (19.90740450987 yrs)
Last Updated
Dec 8, 2009
License
211294 (NY)

Practice Information

Address
300 OLD COUNTRY RD
SUITE 211
MINEOLA, NY, 115014198
Browse NY providers · Browse ZIP 11501
Phone
5162802599
Fax
5162802597
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in MINEOLA, NY

Name Credential NPI
NICOLE M ESQUENET D.O. 1174621692
JOSEPH RICHARD IPPOLITO MD 1811056161
DR. JOHN DEIGHTON CLARKE MD 1386868537
DR. VITA MIA CUCCHIARA 1346401205
DAPHNA-RAQUEL BARASCH D.O. 1902061146
DR. MARIA A ULIANO MD 1659783587
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.