DR. Michael Petelis, DO

NPI #1699861237 in Mineola, New York

Provider Information

NPI Number: 1699861237
Entity Type: Individual
Name: DR. Michael Petelis, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Oct 4, 2006
Last Updated: Dec 8, 2009

Practice Location

Address: 300 OLD COUNTRY RD
Address 2: SUITE 211
City: Mineola
State: New York
ZIP Code: 11501-4198
Phone: (516) 280-2599

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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