GREGORY PETROCHKO

JOHNSON CITY, NY
NPI1790721561
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ME  RNA143748)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: NY  3104221)
Enumeration Date2006-06-21
Last Update Date2020-04-27
Business Address
Mr. GREGORY PETROCHKO CRNA
156 CORLISS AVE SUITE 107
JOHNSON CITY, NY 13790-2060
Phone number: 607-763-6735
Mailing Address
Mr. GREGORY PETROCHKO CRNA
PO BOX 1849
LEWISTON, ME 04241-1849
Phone number: 207-784-2554
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