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

MR. GREGORY PETROCHKO, CRNA

Active

MR. GREGORY PETROCHKO, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in JOHNSON CITY, New York. NPI 1790721561 is currently active in the NPPES registry. Verify at CMS.

Certified Nurse Anesthetist (CRNA) · JOHNSON CITY, NY

Registration Details

NPI Number
1790721561
Provider Type
Individual
Gender
Male
NPI Issued
Jun 21, 2006 (20.141172431499 yrs)
Last Updated
Apr 27, 2020
Licenses
RNA143748 (ME)
3104221 (NY)

Practice Information

Address
156 CORLISS AVE
SUITE 107
JOHNSON CITY, NY, 137902060
Browse NY providers · Browse ZIP 13790
Phone
6077636735
Primary Specialty
Certified Nurse Anesthetist (CRNA)
367500000X

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MS. LING-LING SHIH CRNA 1093795098
DUANE D GANTT CRNA 1548214208
MRS. HAYFA HAZAR CRNA 1326087347
JACQUELINE M HAVRILIAK CRNA 1063457760
MRS. RUTH KULESZA CRNA 1295770485
JAMES MARRA CRNA 1184642043
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.