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

Mr. Gregory Petrochko, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1790721561

Mr. Gregory Petrochko, CRNA is a Certified Registered Nurse Anesthetist in Johnson City, New York. Licensed in Maine and New York. Registered with an NPI since 2006.

Licensed in
ME, NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

156 Corliss Ave Ste 107
Johnson City, NY 13790-2060
Phone: (607) 763-6735
Show map & directions

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RNA143748 (ME)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 3104221 (NY)

Record details

NPI number1790721561
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJune 21, 2006
Last updated in NPPESApril 27, 2020
Certification dateApril 27, 2020
Mailing addressPo Box 1849, Lewiston, ME 04241-1849

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