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KIMBERLY A PETRULLO
NPI 1992137921
Specialist in Staten Island, NY

Active since August 01, 2013
116 RUSTIC PL, STATEN ISLAND, NY 10308(917) 689-4115 Get Directions Write a Review

NPPES record last updated: August 1, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly A Petrullo NPPES

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

KIMBERLY A PETRULLO (NPI 1992137921) is an individual specialist in Staten Island, New York and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1992137921
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameKIMBERLY A PETRULLO
Location Address116 RUSTIC PLStaten Island, NY 10308-2840
Mailing Address116 Rustic PlStaten Island, NY 10308-2840 · (917) 689-4115
Phone(917) 689-4115
Sole ProprietorNo
Enumeration DateAugust 1, 2013
✔ NPI 1992137921 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.
116 RUSTIC PL, Staten Island, NY 10308
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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 Kimberly Petrullo's NPI number?

The NPI number for Kimberly Petrullo is 1992137921. It was assigned to this individual provider in the NPPES registry on August 1, 2013.

Where is Kimberly Petrullo located?

Kimberly Petrullo practices at 116 Rustic Pl, Staten Island, NY 10308. The listed phone number is (917) 689-4115.

What is Kimberly Petrullo'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 Kimberly Petrullo was last updated on August 1, 2013. 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.