Search › New York › 207Q00000X
Leah Petrucelli
NPI 1184289324 · on the registry since 2019 · sole proprietor
Practice
- Address
- 13303 Jamaica Ave
Jamaica, NY 11418 - Phone
- (718) 657-7093
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 390200000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-10-31
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