Dr DOUGLAS MATTHEW PETRACO is a male medical professional, specializing in Orthopedic Surgery. He graduated in 1992 from Cornell University Medical College.
ORTHOPEDIC ASSOC OF LONG ISLAND PHYSICIANS AND MEDICAL GROUP PLLC
6 TECHNOLOGY DR
SUITE 100
EAST SETAUKET
NY
117334079
Tel: 6316896698
| Npi | 1922021476 |
| Pac Id | 5496889362 |
| Professional Enrollment Id | I20100813000411 |
| Last Name | PETRACO |
| First Name | DOUGLAS |
| Middle Name | MATTHEW |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | CORNELL UNIVERSITY MEDICAL COLLEGE |
| Graduation Year | 1992 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | ORTHOPEDIC ASSOC OF LONG ISLAND PHYSICIANS AND MEDICAL GROUP PLLC |
| Group Practice Pac Id | 6204169147 |
| Number Of Group Practice Members | 25 |
| Line 1 Street Address | 6 TECHNOLOGY DR |
| Line 2 Street Address | SUITE 100 |
| Marker Of Address Line 2 Suppression | |
| City | EAST SETAUKET |
| State | NY |
| Zip Code | 117334079 |
| Phone Number | 6316896698 |
| Hospital Affiliation Ccn 1 | 330246 |
| Hospital Affiliation Lbn 1 | ST CHARLES HOSPITAL |
| Hospital Affiliation Ccn 2 | 330401 |
| Hospital Affiliation Lbn 2 | ST CATHERINE OF SIENA HOSPITAL |
| Hospital Affiliation Ccn 3 | 330107 |
| Hospital Affiliation Lbn 3 | PECONIC BAY MEDICAL CENTER |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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