| NPI | 1184253262 |
|---|---|
| Other Name | KERRI PETITPAIN MEDICAL |
| Entity Type | Organization |
| Authorized Contact | KERRI ANN PETITPAIN Practitioner/Owner 631-905-6890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2020-04-02 |