Johanna Petrycki, P.A

NPI 1154513117 · on the registry since 2007

Practice

Address: 222 Middle Country Rd
Suite 228
Smithtown, NY 11787
Phone: (631) 265-1351
Fax: (631) 265-9363
Organisation at this address: Mark Tan, M.D., P.C.
Village Medical, P.C.
J Andrew Fantl Gynecology Pc
Physical Therapy Experience Pllc
Physicians Private Practice, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 18

Registry record

Primary taxonomy: 363AM0700X
363AM0700X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2008-10-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York