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

Dr. Mary Koslap Petraco, NP

Individual provider Pediatric Nurse Practitioner · NPI 1790795896

Dr. Mary Koslap Petraco, NP is a Pediatric Nurse Practitioner in Amityville, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

1080 Sunrise Highway Maxine S Postal Tri Community Health Ctr
Amityville, NY 11701
Phone: (631) 854-1000
Fax: (631) 854-1031
Show map & directions

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence F380420 (NY)

Record details

NPI number1790795896
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 9, 2006
Last updated in NPPESDecember 9, 2011

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