National Provider Identifier Database

GEORGE A PETROSSIAN, MD – NPI #1821093444
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Contact Information

GEORGE A PETROSSIAN, MD
1405 OLD NORTHERN BLVD
ROSLYN, NY  11576-2252
Phone: 516-484-6777
Fax: 516-484-0037
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for GEORGE A PETROSSIAN

NPI Number 1821093444
Credentials MD
Entity Individual
Enumeration date 06/20/2005
Last updated 09/10/2014 - About 12 years ago
Sole proprietor1 Yes
Identifiers
  • NY License #: 159502-1
  • NY Medicaid: 01848737
  • NY Other: 4221943 AETNA USHC - NON HMO
  • NY Other: 1047935 AETNA USHC-HMO
  • NY Other: 85F031 BCBS - PROVIDER I.D.
  • NY Other: 3986056009 CIGNA - PROVIDER I.D.
  • NY Other: 05405G GHI MEDICARE (QUEENS)
  • NY Other: 2198834 GHI/FLEX SELECT/PPO
  • NY Other: 000000067277 GHI/HMO PROVIDER I.D.
  • NY Other: 2C8634 HEALTHNET - PROVIDER I.D.
  • NY Other: 159502 AND 28446P HIP - PROVIDER I.D.
  • NY Other: ZS068 OXFORD - PROVIDER I.D.
  • NY Other: 1210804 UNITED HEALTHCARE
  • NY Other: 19684 VYTRA - PROVIDER I.D.
Hospital affiliation n/a

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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