Anne Marie Petriski

Individual provider Active NPI Licensed Practical Nurse · Frankfort, NY

NPI 1831857739 · NPPES record last updated Dec 8, 2021

Key facts

NPI
1831857739
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
338626 (NY)
Practice address
605 Palmer St
Frankfort, NY 13340-1428
Phone
(315) 894-1768
Fax
(315) 894-2647
NPI assigned
Dec 8, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Frankfort Schuyler CSD Past
since Dec 12, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 338626 NY Yes

Addresses

Primary practice location

605 Palmer St
Frankfort, NY 13340-1428

Mailing address

201 Hugick Rd
Richfield Springs, NY 13439-3722
Phone (315) 894-1768

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address apetriski@frankfort-schuyler.org Direct
Direct Messaging Address apetriski@frankfort-schuyler.org Direct

Other providers in Frankfort, NY

All providers in Frankfort, NY · Licensed Practical Nurse in New York

Sources for this page

Verify at the official NPI Registry.