| Dr Peter James Petrulis, DO | |
|
10 Gagnon Dr, Stone Ridge, NY 12484-5120 | |
| (845) 687-9933 | |
| Not Available |
| Full Name | Dr Peter James Petrulis |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 10 Gagnon Dr, Stone Ridge, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669464624 | NPI | - | NPPES |
| 087250 | Other | NY | MVP |
| 00950523 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 160527 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Peter James Petrulis, DO Po Box 547, Stone Ridge, NY 12484-0547 Ph: (845) 687-9933 | Dr Peter James Petrulis, DO 10 Gagnon Dr, Stone Ridge, NY 12484-5120 Ph: (845) 687-9933 |
Mr. Robert J Taylor, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10 Gagnon Dr, Stone Ridge, NY 12484 Phone: 845-687-7455 Fax: 845-687-4685 | |
Elizabeth M Gregory, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10 Gagnon Dr, Stone Ridge, NY 12484 Phone: 845-687-7455 |