Eugene Petra is a Nephrology in Staten Island, New York. Eugene Petra practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Eugene Petra is 1891773099. The last update date is 2008-02-08.
Eugene Petra's current location address is 1366 Victory Blvd, Staten Island, New York. You can contact this provider via phone number 7182733400 and fax number 7187273402. The mailing address for Eugene Petra is 1366 Victory Blvd, Staten Island, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eugene Petra |
|---|---|
| Address | 1366 Victory Blvd, Staten Island, New York |
| Phone Number | 7182733400 |
| Fax Number | 7187273402 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1891773099 |
|---|---|
| Provider Enumeration Date | 2006-01-06 |
| Last Updated Date | 2008-02-08 |
Provider Mailing Address Detail
| Address | 1366 Victory Blvd |
|---|---|
| City | Staten Island |
| State | New York (NY) |
| Post Code | 103013907 |
| Phone Number | 7182733400 |
| Fax Number | 7187273402 |
Provider's Primary Taxonomy Detail
| Speciality | Nephrology |
|---|---|
| Taxonomy | 207Rn0300X |
| Licence No | 181007 |
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Definition: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1444086 | NY | -- |
Post Comment/ Review Below
What is the Eugene Petra's unique identification number?
The Eugene Petra has been assigned the NPI (National Provider Identifier) Number 1891773099 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Eugene Petra is geographically located?
The Eugene Petra is physically situated at the following location: 1366 Victory Blvd, Staten Island, NY, 103013907.
What is Eugene Petra's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Eugene Petra is Nephrology, and the corresponding taxonomy classification code for this specialized field is 207Rn0300X.
On what date did the Eugene Petra receive the assignment of its 1891773099 from the Centers for Medicare & Medicaid Services?
The Eugene Petra was issued its 1891773099 by the Centers for Medicare & Medicaid Services on 2006-01-06.
When was the information regarding Eugene Petra, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Eugene Petra, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-02-08.