Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Breona Petteway

Individual provider Licensed Practical Nurse · NPI 1225701303

Breona Petteway is a Licensed Practical Nurse in Syracuse, New York. Licensed in New York. Registered with an NPI since 2021.

Licensed in
NY
In the registry since
2021

Practice location Address checks out

206 Erie St
Syracuse, NY 13204-1608
Phone: (631) 636-1772
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 331074-01 (NY)

Record details

NPI number1225701303
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 26, 2021
Last updated in NPPESAugust 10, 2021
Certification dateAugust 10, 2021
Mailing address108 W Ellis St, East Syracuse, NY 13057-2527

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