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KERRI PETITPAIN MEDICAL
NPI 1184253262
Nurse Practitioner - Family in Manorville, NY

Active since April 02, 2020
18 SCOTT LN, MANORVILLE, NY 11949(631) 905-6890(888) 920-2296 Get Directions Write a Review

NPPES record last updated: April 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kerri Petitpain Medical NPPES

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

KERRI PETITPAIN MEDICAL (NPI 1184253262) is a healthcare organization registered as a family in Manorville, New York and active in the NPI registry since April 2020. The organization lists Kerri Ann Petitpain, Practitioner/owner, as its authorized official.

NPPES Registry Identity

NPI1184253262
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameKERRI PETITPAIN MEDICAL
Location Address18 SCOTT LNManorville, NY 11949-2624
Mailing Address18 Scott LnManorville, NY 11949-2624 · (631) 905-6890 · Fax (888) 920-2296
Phone(631) 905-6890
Fax(888) 920-2296
Organization SubpartNo
Authorized OfficialKerri Ann PetitpainPractitioner/owner · (631) 905-6890
Enumeration DateApril 2, 2020
NPPES CertifiedApril 2, 2020
✔ NPI 1184253262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
18 SCOTT LN, Manorville, NY 11949
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Other Names 1

Other NameKerri Petitpain Medical

Other Identifiers 1

Medicaid03410419NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MS. KERRI ANN PETITPAIN
Nurse Practitioner (Family)
18 SCOTT LN
MANORVILLE, NY 11949
Suffolk County (631) 905-6890

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 Kerri Petitpain Medical's NPI number?

The NPI number for Kerri Petitpain Medical is 1184253262. It was assigned to this organization in the NPPES registry on April 2, 2020.

Where is Kerri Petitpain Medical located?

Kerri Petitpain Medical is located at 18 Scott Ln, Manorville, NY 11949. The listed phone number is (631) 905-6890.

What is Kerri Petitpain Medical's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kerri Petitpain Medical was last updated on April 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.