National Provider Identifier
Tara Marie Petroski, MD
Tara Marie Petroski, MD is listed in the NPPES registry with a primary specialty of Pediatric Emergency Medicine (Pediatrics) Physician in Rochester, NY and a listed phone number of (585) 922-0866.
Source: public NPPES record, last updated January 05, 2023. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1972769248
- Provider Type
- Individual
- Primary Specialty
- Pediatric Emergency Medicine (Pediatrics) Physician
- Enumeration Date
- August 05, 2008
- Last Updated
- January 05, 2023
Practice Location
- 1425 Portland Ave # 304
- Rochester, NY 14621
Phone: (585) 922-0866
Mailing Address
- 1425 Portland Ave # 304
- Rochester, NY 14621-3095
Specialties
- Pediatric Emergency Medicine (Pediatrics) Physician (2080P0204X)
- Pediatrics Physician (208000000X)
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Full Record
- NPI
- 1972769248
- Entity Type
- Individual
- Last Name
- Petroski
- First Name
- Tara
- Middle Name
- Marie
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 1425 Portland Ave # 304
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-3095
- Mailing Country
- US
- Mailing Phone
- (585) 922-0866
- Mailing Fax
- (585) 922-2951
- Practice Street Address
- 1425 Portland Ave # 304
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621
- Practice Country
- US
- Practice Phone
- (585) 922-0866
- Practice Fax
- (585) 922-2951
- Enumeration Date
- August 05, 2008
- Last Updated
- January 05, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 05, 2023
- Taxonomies
- Pediatric Emergency Medicine (Pediatrics) Physician (2080P0204X), Pediatrics Physician (208000000X)