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

Kimberly A Petrullo

Individual provider Specialist · NPI 1992137921

Kimberly A Petrullo is a Specialist in Staten Island, New York. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

116 Rustic Pl
Staten Island, NY 10308-2840
Phone: (917) 689-4115
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1992137921
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 1, 2013
Last updated in NPPESAugust 1, 2013

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