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Contact Information

MARTIN PETRALIA, RPH
593 OLD TOWN RD
TERRYVILLE, NY11776
 Phone: 631-473-4500
 Fax: 631-473-6530
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for MARTIN PETRALIA · (Male)

NPI # 1033391487
Status Active
Credentials RPH (Registered Pharmacist)
Entity Individual
Enumeration date 11/28/2007
Last updated 11/28/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 31909
Hospital affiliation(s) Not Available
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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