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

Christopher Petillo

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1003660044

Christopher Petillo is a Student in an Organized Health Care Education/Training Program in Mineola, New York. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

259 1st St
Mineola, NY 11501-3957
Phone: (516) 663-0333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1003660044
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 16, 2024
Last updated in NPPESApril 16, 2024
Certification dateApril 16, 2024
Mailing address259 1st St, Mineola, NY 11501-3957

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