Dr Eugene Petra, MD - Internal Medicine in Staten Island, NY

Dr Eugene Petra, MD is a Internal Medicine - Nephrology physician based in Staten Island, New York. Dr Eugene Petra is licensed to practice in New York (license number 181007) and his current practice location is 1366 Victory Blvd, Staten Island, New York. He can be reached at his office (for appointments etc.) via phone at (718) 273-3400.

NPI number for Dr Eugene Petra is 1891773099 and his current mailing address is 1366 Victory Blvd, Staten Island, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1891773099.

Contact Information

Dr Eugene Petra, MD
1366 Victory Blvd,
Staten Island, NY 10301-3907
(718) 273-3400
(718) 727-3402



Physician's Profile

Full NameDr Eugene Petra
GenderMale
SpecialityInternal Medicine - Nephrology
Location1366 Victory Blvd, Staten Island, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1891773099
  • Provider Enumeration Date: 01/06/2006
  • Last Update Date: 02/08/2008

Medical Identifiers

Medical identifiers for Dr Eugene Petra such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891773099NPI-NPPES
01444086MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 181007 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Eugene Petra is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Eugene Petra, MD
1366 Victory Blvd,
Staten Island, NY 10301-3907

Ph: (718) 273-3400
Dr Eugene Petra, MD
1366 Victory Blvd,
Staten Island, NY 10301-3907

Ph: (718) 273-3400

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Internal Medicine Doctors in Staten Island, NY

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