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

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1639139934

Emil L Petrov, MD is a Pathology in Staten Island, New York. Qualified in 1982, 44 years ago. Practices with Endo Associates of Staten Island, PLLC, a 6-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
44
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1 Edgewater Plaza 1st Fl Lab
Staten Island, NY 10305
Phone: (718) 226-4130
Fax: (718) 226-4185
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 001761 (NY)

Record details

NPI number1639139934
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 23, 2006
Last updated in NPPESJuly 8, 2007
Mailing address1 Edgewater St, Suite 723, Staten Island, NY 10305-4900

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Group practice Endo Associates Of Staten Island, Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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