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MRS. EDWILDA HENRY-PETIT M.S.E.D
NPI 1902169576
Specialist in Manorville, NY

Active since June 19, 2012
216 WEEKS AVE, MANORVILLE, NY 11949(347) 324-6285 Get Directions Write a Review

NPPES record last updated: June 19, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Edwilda Henry-petit M.s.e.d NPPES

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

MRS. EDWILDA HENRY-PETIT M.S.E.D (NPI 1902169576) is an individual specialist in Manorville, New York and active in the NPI registry since June 2012. She is a graduate of Other (2021).

NPPES Registry Identity

NPI1902169576
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMRS. EDWILDA HENRY-PETITCredential: M.S.E.D
Location Address216 WEEKS AVEManorville, NY 11949-2035
Mailing Address216 Weeks AveManorville, NY 11949-2035 · (347) 324-6285
Phone(347) 324-6285
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJune 19, 2012
✔ NPI 1902169576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
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.
216 WEEKS AVE, Manorville, NY 11949
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Edwilda Henry-petit M.s.e.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951817956
PECOS Enrollment IDI20250717003009

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 Edwilda Henry-petit's NPI number?

The NPI number for Edwilda Henry-petit is 1902169576. It was assigned to this individual provider in the NPPES registry on June 19, 2012.

Where is Edwilda Henry-petit located?

Edwilda Henry-petit practices at 216 Weeks Ave, Manorville, NY 11949. The listed phone number is (347) 324-6285.

What is Edwilda Henry-petit's specialty?

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

Is Edwilda Henry-petit enrolled in Medicare?

Yes. Edwilda Henry-petit is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edwilda Henry-petit was last updated on June 19, 2012. 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.