Doctor profile · Federal record
Dr. Mary Koslap Petraco, NP
Pediatric Nurse Practitioner · Amityville, NY
- NPI 1790795896
- 20 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1080 Sunrise Highway, Maxine S Postal Tri Community Health Center
Amityville, NY 11701
(631) 854-1000
fax (631) 854-1031
Credentials & registration
- NPI registered
- August 2006 — 20 yrs on file
- Profile last updated
- December 9, 2011
- Specialty taxonomy
- 363LP0200X — NUCC code
- State license (1)
- New York #F380420
- Medicaid
- NY #00473170
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1790795896. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$1,269
Transactions
12
Manufacturers
9
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Novavax INC | 3 | $242.54 | |
| Neurelis, INC. | 2 | $199.75 | |
| Sanofi Pasteur INC. | 1 | $130.99 | |
| Acadia Pharmaceuticals INC | 1 | $125.01 | |
| Mylan Specialty L.P. | 1 | $125.00 | |
| Genentech USA, INC. | 1 | $121.65 | |
| Alexion Pharmaceuticals, INC. | 1 | $111.92 | |
| Shield Therapeutics INC | 1 | $107.76 | |
| Apellis Pharmaceuticals, INC. | 1 | $104.59 |
By nature of payment
Frequently asked questions
What is Dr. Mary Koslap Petraco's medical specialty?
Dr. Mary Koslap Petraco practices Pediatric Nurse Practitioner in Amityville, NY.
Where does Dr. Mary Koslap Petraco practice?
Dr. Mary Koslap Petraco practices at 1080 Sunrise Highway, Amityville, NY 11701. Office phone: 6318541000.
What is Dr. Mary Koslap Petraco's NPI?
Dr. Mary Koslap Petraco's National Provider Identifier (NPI) is 1790795896, issued by NPPES.