Dr. Mary Koslap Petraco
NP | Nurse Practitioner - Pediatrics
1080 Sunrise Highway, Maxine S Postal Tri Community Health Center, Amityville
New York, 11701
631-854-1000
Dr. Mary Koslap Petraco is a Amityville, New York based nurse practitioner who is specialized as Pediatrics nurse. Active license number of Dr. Mary Koslap Petraco is F380420 for Pediatrics in New York. Her current practice location is 1080 Sunrise Highway, Maxine S Postal Tri Community Health Center, Amityville. Patients can reach her at 631-854-1000 or can fax her at 631-854-1031. Dr. Mary Koslap Petraco is NP with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1790795896.
Dr. Mary Koslap Petraco specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Dr. Mary Koslap Petraco speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Dr. Mary Koslap Petraco |
| Specialization: | Pediatrics Nurse Practitioner (PNP) |
| Gender: | Female |
| Credentials: | NP |
| Practice Address: | 1080 Sunrise Highway, Maxine S Postal Tri Community Health Center, Amityville,
New York, 11701 |
| Phone: | 631-854-1000 |
| Fax: | 631-854-1031 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1790795896 |
| NPI Enumeration Date: | 09 Aug, 2006 |
| NPI Last Update On: | 09 Dec, 2011 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Mary Koslap Petraco are as mentioned below.
| License Number | Specialization | State | Status | |
| F380420 | Pediatrics | New York | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Mary Koslap Petraco such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 00473170 | Medicaid | New York | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Dr. Mary Koslap Petraco
1080 Sunrise Highway, Maxine S Postal Tri Community Health Center
Amityville, New York |
| Zip: | 11701 |
| Phone Number: | 631-854-1000 |
| Fax Number: | 631-854-1031 |
Patients can reach Dr. Mary Koslap Petraco at
1080 Sunrise Highway, Maxine S Postal Tri Community Health Center, Amityville, New York or can
call to book an appointment on 631-854-1000.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.