IndividualActive
Paul Petrakos, DO
NPI 1134545171 · Glaucoma Specialist (Ophthalmology) Physician · New York, NY
Provider details
- NPI number
- 1134545171
- Entity type
- Individual
- Primary specialty
- Glaucoma Specialist (Ophthalmology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 294458 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1305 York Ave
New York, NY 10021
Phone: (646) 962-2020
Fax: (646) 962-0602
Approximate (ZIP-level) locationGet directions
Mailing address
1305 York Ave
New York, NY 10021-5663
Registry dates
- Enumerated
- 2014-03-14
- Last updated
- 2023-08-03
- Certified
- 2023-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.