Kassandra Petit
Nurse Practitioner - Women's Health
855 Central Ave
Albany
, New York 12206-1513
Kassandra Petit
Nurse Practitioner - Women's Health
855 Central Ave
Albany
, New York 12206-1513
(315) 222-7435
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About
Features
Specialties
- Nurse Practitioner - Women's Health
Languages spoken
- English
Location
First Address
- Kassandra Petit
- 114 University Ave
- Rochester, NY
- Zip : 14605-2929
- Fax : (315) 222-7435
- Phone : (585) 371-8373
Second Address
- Kassandra Petit
- 855 Central Ave
- Albany, NY
- Zip : 12206-1513
- Phone : (518) 434-5678
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LW0102X | Nurse Practitioner - Women's Health | 421490 | NY |
National Provider Identifier
| NPI | 1083290860 |
|---|---|
| Provider Name | Kassandra Petit |
| First Address | Rochester, NY 14605-2929 |
| Second Address | Albany, NY 12206-1513 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/03/2021 |
| Last Update Date | 22/03/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.