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Contact Information

MICHAEL PETELIS, DO
300 OLD COUNTRY RD
SUITE 211
MINEOLA, NY11501-4198
 Phone: 516-280-2599
 Fax: 516-280-2597
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MICHAEL PETELIS · (Male)

NPI # 1699861237
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 10/04/2006
Last updated 12/08/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 211294
  • NY Other 211294 LICENSE
Hospital affiliation(s)
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
  • NYU HOSPITALS CENTER - (Acute Care)
    550 FIRST AVENUE
    NEW YORK, NY 10016
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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