Individual ProviderLaura Israelian PetrasFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address632 Broadway Ph, New York, NY 10012-2614(347) 294-3414PECOS EnrollmentBased on the most recent information from CMS, provider Laura Israelian Petras does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:15 AM.Profile DetailsProvider ID1477797967Provider TypeIndividualFull NamePetras, Laura IsraelianTitleDr.CredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date4/28/2009Last Updated1/13/2023Contact InformationPractice LocationPractice Address632 Broadway Ph, New York, NY 10012-2614Phone(347) 294-3414FaxUnlisted FaxMailing LocationMailing Address64 Bleecker St # 151, New York, NY 10012-2410Phone(347) 294-3414FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense0101252016VirginiaCode207Q00000XDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense261321Massachusetts