Michael Petelis in Mineola - Family Medicine

Michael Petelis - NPI 1699861237

Michael Petelis is a Family Medicine in Mineola, New York. Michael Petelis practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Michael Petelis is 1699861237. The last update date is 2009-12-08.

Michael Petelis's current location address is 300 Old Country Rd, Mineola, New York. You can contact this provider via phone number 5162802599 and fax number 5162802597. The mailing address for Michael Petelis is 300 Old Country Rd, Mineola, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Petelis
Address 300 Old Country Rd, Mineola, New York
Phone Number 5162802599
Fax Number 5162802597
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1699861237
Provider Enumeration Date 2006-10-04
Last Updated Date 2009-12-08

Provider Mailing Address Detail

Address 300 Old Country Rd
City Mineola
State New York (NY)
Post Code 115014198
Phone Number 5162802599
Fax Number 5162802597

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 211294
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
211294 NY LICENSE

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FAQs about Michael Petelis

What is the unique 10-digit identification code assigned to Michael Petelis by the Centers for Medicare & Medicaid Services?

The Michael Petelis has been issued the NPI (National Provider Identifier) 1699861237, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Michael Petelis is located?

The Michael Petelis is situated at the following address: 300 Old Country Rd, Mineola, NY, 115014198.

What is Michael Petelis's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Michael Petelis is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.

When did the Michael Petelis receive its 1699861237?

The Michael Petelis was issued its 1699861237 on 2006-10-04, which is the date when the organization was assigned this unique identifier.

When was the Michael Petelis's information last updated?

The Michael Petelis's information was last updated on 2009-12-08.

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