| Dr Michael Onofrio Petrella, MD | |
|
255 Lafayette Ave, Suffern, NY 10901-4812 | |
| (845) 368-5048 | |
| Not Available |
| Full Name | Dr Michael Onofrio Petrella |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Neonatal-perinatal Medicine |
| Location | 255 Lafayette Ave, Suffern, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528001419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 25MA07429400 (New Jersey) | Secondary |
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 237170-1 (New York) | Primary |
| Entity Name | Boston Children's Health Physicians Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467454967 PECOS PAC ID: 8325937014 Enrollment ID: O20040311000864 |
| Entity Name | White Plains Hospital Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003089491 PECOS PAC ID: 4981593092 Enrollment ID: O20040420001230 |
| Entity Name | White Plains Hospital Medical Center |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1992255392 PECOS PAC ID: 4981593092 Enrollment ID: O20161219001743 |
| Entity Name | East Post Road Medical Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841767274 PECOS PAC ID: 6406198506 Enrollment ID: O20190419000178 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Onofrio Petrella, MD 255 Lafayette Ave, Suffern, NY 10901-4812 Ph: (845) 368-5048 | Dr Michael Onofrio Petrella, MD 255 Lafayette Ave, Suffern, NY 10901-4812 Ph: (845) 368-5048 |
Dr. Richard Sirop, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 Route 59, Suite 104, Suffern, NY 10901 Phone: 845-357-5020 Fax: 845-357-5033 | |
Mrs. Giuseppina Benincasa-feingold, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 27 Indian Rock, Route 59, Suffern, NY 10901 Phone: 845-357-5437 Fax: 845-357-5437 | |
Dr. Jeff Myron Gruen, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 400 Rella Blvd, Suffern, NY 10901 Phone: 202-281-6917 | |
Martin S Katzenstein, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 255 Lafayette Ave, Suffern, NY 10901 Phone: 914-493-8558 Fax: 914-493-1488 | |
Glenn J Mendoza, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 255 Lafayette Ave, Suffern, NY 10901 Phone: 914-493-8558 Fax: 914-493-1488 | |
Alexandra Iordanescu, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 Route 59, Ste 103a, Suffern, NY 10901 Phone: 800-207-5737 Fax: 610-401-2100 | |
Frederick Weck, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 222 Route 59, Suffern, NY 10901 Phone: 845-368-0422 Fax: 845-368-3224 |