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

Marcia Petitt

Individual provider Specialist · NPI 1063777233

Marcia Petitt is a Specialist in Woodside, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012
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Practice location Address checks out

6311 Queens Blvd Apt B-16
Woodside, NY 11377-5764
Phone: (718) 457-2180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 638064041 (NY)

Record details

NPI number1063777233
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 12, 2012
Last updated in NPPESDecember 13, 2012
Mailing address6311 Queens Blvd, Apt B-16, Woodside, NY 11377-5764

Other providers in Woodside