Provider Demographics
NPI:1053465971
Name:PETRE, LUIZA F (MD)
Entity type:Individual
Prefix:DR
First Name:LUIZA
Middle Name:F
Last Name:PETRE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 E 57TH ST STE 1450
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-2109
Mailing Address - Country:US
Mailing Address - Phone:212-203-6957
Mailing Address - Fax:212-203-6957
Practice Address - Street 1:115 E 57TH ST STE 1450
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-2109
Practice Address - Country:US
Practice Address - Phone:212-203-6957
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY230304207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02870597Medicaid
NYA300020680Medicare PIN