MARCIA PETITT
NPI 1063777233
Specialist in Woodside, NY

Active since July 12, 2012
6311 QUEENS BLVD, APT B-16, WOODSIDE, NY 11377(718) 457-2180 Get Directions Write a Review

NPPES record last updated: December 13, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marcia Petitt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARCIA PETITT (NPI 1063777233) is an individual specialist in Woodside, New York, licensed in New York (638064041) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1063777233
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMARCIA PETITT
Location Address6311 QUEENS BLVD, APT B-16Woodside, NY 11377-5764
Mailing Address6311 Queens Blvd, Apt B-16Woodside, NY 11377-5764 · (718) 457-2180
Sole ProprietorYes
Enumeration DateJuly 12, 2012
Last NPPES UpdateDecember 13, 2012
NPI 1063777233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NY · 638064041
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
6311 QUEENS BLVD, Woodside, NY 11377

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinical Medical Laboratory
6311 QUEENS BLVD
WOODSIDE, NY 11377

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marcia Petitt's NPI number?

The NPI number for Marcia Petitt is 1063777233. It was assigned to this individual provider in the NPPES registry on July 12, 2012.

Where is Marcia Petitt located?

Marcia Petitt practices at 6311 Queens Blvd Apt B-16, Woodside, NY 11377. The listed phone number is (718) 457-2180.

What is Marcia Petitt's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Marcia Petitt was last updated on December 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.