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

Mirjana Petrov

Individual provider Physical Therapy Assistant · NPI 1619743788

Mirjana Petrov is a Physical Therapy Assistant in Astoria, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2023
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Practice location Address checks out

4014 Astoria Blvd Apt C1
Astoria, NY 11103-3628
Phone: (347) 430-1930
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 012516-01 (NY)

Record details

NPI number1619743788
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 30, 2023
Last updated in NPPESNovember 30, 2023
Certification dateNovember 30, 2023

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