Dr. Jessica Theresa Petros
M.D. | Pediatrics | Female
Dr. Jessica Theresa Petros, M.D. is a Long Island City, New York based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Jessica Theresa Petros is
3611 21st St, Long Island City, New York - 11106-4705. She can be contacted on phone at
718-482-7772 and fax number 718-482-9648.
Dr. Jessica Theresa Petros is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Jessica Theresa Petros is
1528231016 which was assigned by NPPES on 07 Apr, 2008 and it was last updated on 06 Mar, 2014.
Dr. Jessica Theresa Petros license number is
238271 for Pediatrics (208000000X) in New York.
Dr. Jessica Theresa Petros is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Jessica Theresa Petros basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Jessica Theresa Petros |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Dr. Jessica Theresa Petros address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3611 21st St
Long Island City, NY, 11106-4705
United States |
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| Phone Number : | 718-482-7772 |
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| Fax Number : | 718-482-9648 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1528231016 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 07 Apr, 2008 |
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| Last Updated On : | 06 Mar, 2014 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jessica Theresa Petros are as mentioned. Primary taxonomy code for Dr. Jessica Theresa Petros, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207R00000X | Internal Medicine | No | 238271 | NY |
| 208000000X | Pediatrics | Yes | 238271 | NY |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Jessica Theresa Petros such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00695941 | MEDICAID | NY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 60 Madison Ave, 5th Floor
New York, NY, 10010-1600
United States |
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| Phone Number : | 212-545-2439 |
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| Fax Number : | 646-312-0481 |
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Business Location:
Patients can refer following map for directions to
Dr. Jessica Theresa Petros practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.