John M Petrillo in Schenectady - Family Medicine
John M Petrillo - NPI 1033144233
John M Petrillo is a Family Medicine in Schenectady, New York. John M Petrillo practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for John M Petrillo is 1033144233. The last update date is 2009-03-26.
John M Petrillo's current location address is 624 Mcclellan Street, Schenectady, New York. You can contact this provider via phone number 5183822260 and fax number 5183475007. The mailing address for John M Petrillo is 624 Mcclellan Street, Schenectady, New York. To know further, please read the information below!
Provider Profile Detail
Provider Name | John M Petrillo |
---|---|
Address | 624 Mcclellan Street, Schenectady, New York |
Phone Number | 5183822260 |
Fax Number | 5183475007 |
Sole Proprietor | N |
Credentials | D.O. |
NPI Number Detail
NPI Number | 1033144233 |
---|---|
Provider Enumeration Date | 2006-07-12 |
Last Updated Date | 2009-03-26 |
Provider Mailing Address Detail
Address | 624 Mcclellan Street |
---|---|
City | Schenectady |
State | New York (NY) |
Post Code | 123041020 |
Phone Number | 5183822260 |
Fax Number | 5183475007 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
---|---|
Taxonomy | 207Q00000X |
Licence No | 239706 |
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 |
---|---|---|---|
70216000066 | NY | FIDELIS | |
200391 | NY | SENIOR WHOLE HEALTH | |
4148P1 | NY | EMPIRE BC | |
4149233 | NY | MVP | |
412108002 | NY | BSNENY | |
111639 | NY | GHI HMO | |
7488829 | NY | AETNA | |
2770294 | NY | -- | |
CDPHP | NY | 10112887 |
Post Comment/ Review Below
What is the John M Petrillo's unique identification number?
The John M Petrillo has been assigned the NPI (National Provider Identifier) Number 1033144233 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the John M Petrillo's physical address?
The John M Petrillo is physically located at 624 Mcclellan Street, in the city of Schenectady, NY, with the postal code 123041020.
What is John M Petrillo's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for John M Petrillo is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date did the John M Petrillo receive the assignment of its 1033144233 from the Centers for Medicare & Medicaid Services?
The John M Petrillo was issued its 1033144233 by the Centers for Medicare & Medicaid Services on 2006-07-12.
When was the information pertaining to John M Petrillo most recently updated or revised?
The details related to John M Petrillo, including its address, specialty, and other relevant information, were last updated or revised on 2009-03-26.