National Provider Identifier
Susan Lucy Petroski
Susan Lucy Petroski is listed in the NPPES registry with a primary specialty of Pediatric Occupational Therapist in Port Jefferson, NY and a listed phone number of (631) 474-6324.
Source: public NPPES record, last updated April 20, 2021. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1831304781
- Provider Type
- Individual
- Primary Specialty
- Pediatric Occupational Therapist
- Enumeration Date
- May 14, 2007
- Last Updated
- April 20, 2021
Practice Location
- 200 Belle Terre RD
- Port Jefferson, NY 11777-1928
Phone: (631) 474-6324
Mailing Address
- 2 Lakeland Pl
- Farmingville, NY 11738-1324
Specialties
- Pediatric Occupational Therapist (225XP0200X)
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Biography
Susan Petroski is a Port Jefferson-based occupational therapist with a pediatric practice focus, and her public CMS NPPES profile lists a New York occupational therapy license.
Full Record
- NPI
- 1831304781
- Entity Type
- Individual
- Last Name
- Petroski
- First Name
- Susan
- Middle Name
- Lucy
- Name Prefix
- MS.
- Mailing Street Address
- 2 Lakeland Pl
- Mailing City
- Farmingville
- Mailing State
- NY
- Mailing ZIP Code
- 11738-1324
- Mailing Country
- US
- Mailing Phone
- (631) 846-6382
- Practice Street Address
- 200 Belle Terre RD
- Practice City
- Port Jefferson
- Practice State
- NY
- Practice ZIP Code
- 11777-1928
- Practice Country
- US
- Practice Phone
- (631) 474-6324
- Enumeration Date
- May 14, 2007
- Last Updated
- April 20, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 20, 2021
- Taxonomies
- Pediatric Occupational Therapist (225XP0200X)