MARYA PETRUTIK
NPI 1174891865
Licensed Practical Nurse in Brooklyn, NY

Q: What is Marya Petrutik's NPI number?

The NPI number for Marya Petrutik is 1174891865. It was assigned to this individual provider in the NPPES registry on December 8, 2011.

Q: What is Marya Petrutik's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Marya Petrutik was last updated on December 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since December 08, 2011

2920 CORTELYOU RD, BROOKLYN, NY 11226(917) 239-3094(718) 287-4600 Get Directions Write a Review

NPPES record last updated: December 8, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Marya Petrutik NPPES

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

MARYA PETRUTIK (NPI 1174891865) is an individual licensed practical nurse in Brooklyn, New York, licensed in New York (301902) and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1174891865

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMARYA PETRUTIK

Location Address2920 CORTELYOU RDBrooklyn, NY 11226

Mailing Address2920 Cortelyou RdBrooklyn, NY 11226 · (917) 239-3094 · Fax (718) 287-4600

Phone(917) 239-3094

Fax(718) 287-4600

Sole ProprietorYes

Enumeration DateDecember 8, 2011

✔ NPI 1174891865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 301902

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

2920 CORTELYOU RD, Brooklyn, NY 11226

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Other Providers at the Same Location NPPES 20

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

YVETTE JUBUISSON

Licensed Practical Nurse