Individual ProviderChristine PetrinInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address345 E 102nd Street, 4th Floor, Suite 401, New York, NY 10029(212) 360-2600PECOS EnrollmentBased on the most recent information from CMS, provider Christine Petrin 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 2 days ago.Profile DetailsProvider ID1962030817Provider TypeIndividualFull NamePetrin, ChristineCredentialMD, MPHGenderFemaleSole ProprietorYesEnumeration Date3/27/2020Last Updated2/15/2025Contact InformationPractice LocationPractice Address345 E 102nd Street, 4th Floor, Suite 401, New York, NY 10029Phone(212) 360-2600FaxUnlisted FaxMailing LocationMailing Address212 E 106th St, New York, NY 10029-4007PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense329205New YorkCode208000000XDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicense329205New YorkProvider IdentifiersIDDescriptionIssuerID07957239DescriptionMedicaidIssuerUnlistedNew York