DR. RUSS PETRO (NPI# 1093150419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093150419 |
| Entity Type | Individual |
| Full Name | DR. RUSS PETRO |
| Credential | DVM |
| Practice Address |
202 Route 303 Valley Cottage NY 10989-2019 |
| Practice Telephone | 8452689263 |
| Practice Fax Number | 8452680516 |
| Mailing Telephone | 8452689263 |
| Mailing Fax Number | 8452680516 |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2013-04-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174M00000X | Veterinarian | 3843 | NY | Other Service Providers |
| Street Address |
202 ROUTE 303 |
| City | VALLEY COTTAGE |
| State | NY |
| Zip Code | 10989-2019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093158040 | Linda Atkins | Veterinarian | 202 Route 303, Valley Cottage, NY 10989-2019 | 2013-04-09 |
| 1700222718 | Amy Sarah Morgenstern | Veterinarian | 202 Route 303, Valley Cottage, NY 10989-2019 | 2013-05-16 |
| 1114362332 | Jessica Downing | Veterinarian | 202 Route 303, Valley Cottage, NY 10989-2019 | 2013-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982237392 | Aviva Weldon | Social Worker | 991 Sierra Vista Lane, Valley Cottage, NY 10989 | 2020-02-14 |
| 1497201792 | Nighat Afzal | Social Worker | 140 Rout 303, Suit F, Valley Cottage, NY 10989 | 2016-08-28 |
| 1316396484 | Noreen Shimkus | Physical Therapist | 412 Storms Rd, Valley Cottage, NY 10989 | 2016-06-08 |
| 1134585680 | Lissette Rivas | Licensed Practical Nurse | 405 Sierra Vista Lane, Valley Cottage, NY 10989 | 2016-01-13 |
| 1902219124 | Ralph Jacques Alphonse | Licensed Practical Nurse | 533kings Hwy, Valley Cottage, NY 10989 | 2014-06-05 |
| 1750723516 | Noel Teresa Delgado | Licensed Practical Nurse | 137 New York Route 303, Box 13, Valley Cottage, NY 10989 | 2013-07-22 |
| 1497078943 | Tulasi Malla | Pharmacist | 33 Route 303, Valley Cottage, NY 10989 | 2010-03-11 |
| 1083881643 | Sonia C Reines | Social Worker | 336 Old Mill Rd, Valley Cottage, NY 10989 | 2008-05-13 |
| 1952582520 | Siobhan P Lamasney | Nurse Practitioner | 695 Sierra Vista Lane, Valley Cottage, NY 10989 | 2007-11-23 |
| 1841412194 | Cheryl Cohen | Occupational Therapist | 313 Sierra Vista Lane, Valley Cottage, NY 10989 | 2007-05-03 |
| Find all providers in zip 10989 | ||||
| Taxonomy Code | 174M00000X |
| Grouping | Other Service Providers |
| Classification | Veterinarian |
| A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |
| Notes: Source: Dorland’s Illustrated Medical Dictionary. 28th edition. Philadelphia: W.B. Saunders Company, 1994, p. 1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093158040 | Linda Atkins | Veterinarian | 202 Route 303, Valley Cottage, NY 10989-2019 | 2013-04-09 |
| 1700222718 | Amy Sarah Morgenstern | Veterinarian | 202 Route 303, Valley Cottage, NY 10989-2019 | 2013-05-16 |
| 1114362332 | Jessica Downing | Veterinarian | 202 Route 303, Valley Cottage, NY 10989-2019 | 2013-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952769762 | Jason Felver-gant | Veterinarian | 6996 Henderson Rd, Jamesville, NY 13078-9616 | 2016-02-08 |
| 1972975779 | Jennifer Puttress | Veterinarian | 394 Route 52, Carmel, NY 10512-5710 | 2015-10-20 |
| 1558732610 | Spencer Jake Herman | Veterinarian | 417 E 72nd St Apt 1a, New York, NY 10021-4415 | 2015-10-15 |
| 1467822155 | Stephanie Ulrich | Veterinarian | 360 Jericho Tpke, Syosset, NY 11791-4549 | 2015-10-07 |
| 1487024436 | Michali Berenstein | Veterinarian | 125 New Dorp Ln, Staten Island, NY 10306-3003 | 2015-10-03 |
| 1578946380 | David Alan Kolins | Veterinarian | 132 Jericho Tpke, Mineola, NY 11501-1856 | 2015-06-30 |
| 1629456470 | Jennifer Jane Peirick | Veterinarian | 116 Biomedical Education Building, 3435 Main St., Suny @ Buffalo, Laf, Buffalo, NY 14260 | 2015-05-13 |
| 1699164418 | Robert D. Hamilton | Veterinarian | 1961 Route 14, Lyons, NY 14489-9343 | 2015-01-16 |
| 1285032532 | Sasha Nelson | Veterinarian | 565 Columbus Ave, New York, NY 10024-2403 | 2014-12-17 |
| 1639585409 | Lorianne Fulco | Veterinarian | 9 Discovery Dr, Rensselaer, NY 12144-3452 | 2014-07-01 |
| Find all providers with the same taxonomy | ||||
| City | VALLEY COTTAGE |
| Zip Code | 10989 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.