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

Samuel Russel Petrie, MD

Individual provider Psychiatry Physician · NPI 1780328377

Samuel Russel Petrie, MD is a Psychiatry Physician in New York, New York. Licensed in New York. Registered with an NPI since 2022.

Licensed in
NY
In the registry since
2022
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

109 W 27th St Rm 5S
New York, NY 10001-6208
Phone: (833) 351-8255
Fax: (888) 815-3583
Show map & directions

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

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 341105-01 (NY)

Record details

NPI number1780328377
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 21, 2022
Last updated in NPPESJune 9, 2026
Certification dateJune 9, 2026

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