Dr Christie Petrenko, PHD | |
187 Edinburgh St, Rochester, NY 14608-2415 | |
(585) 275-2991 | |
Not Available |
Full Name | Dr Christie Petrenko |
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Gender | Female |
Speciality | Psychologist |
Location | 187 Edinburgh St, Rochester, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326409020 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 18988 (New York) | Secondary |
103T00000X | Psychologist | 018988 (New York) | Primary |
Entity Name | Pediatric Development Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346286895 PECOS PAC ID: 4789624669 Enrollment ID: O20050510000895 |
Mailing Address | Practice Location Address |
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Dr Christie Petrenko, PHD 187 Edinburgh St, Rochester, NY 14608-2415 Ph: (585) 275-2991 | Dr Christie Petrenko, PHD 187 Edinburgh St, Rochester, NY 14608-2415 Ph: (585) 275-2991 |
Dr. Aileen Aldalur, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 300 Crittenden Blvd, Rochester, NY 14642 Phone: 585-275-3563 | |
Holly Weldon, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 601 Elmwood Ave, Rochester, NY 14642 Phone: 585-275-2100 | |
Dr. Susan Holmes Mcdaniel, PHD Psychologist Medicare: May Accept Medicare Assignments Practice Location: 777 S Clinton Ave, Rochester, NY 14620 Phone: 585-279-4820 Fax: 585-442-8319 | |
Jon C. Meccarello, PH.D, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1400 East Ave Apt 301, Rochester, NY 14610 Phone: 585-734-2679 | |
Linda Alpert-gillis, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 300 Crittenden Blvd, Rochester, NY 14642 Phone: 585-275-6733 | |
Dr. Jane Ruoff, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1360 Monroe Ave, Rochester, NY 14618 Phone: 585-615-0213 | |
Dr. Suzannah Joy Iadarola, PH.D., BCBA-D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 601 Elmwood Ave, Box 671, Rochester, NY 14642 Phone: 585-275-2986 Fax: 585-275-3366 |