Provider Demographics
NPI:1346372802
Name:PETROSIAN, VALERY (MD)
Entity Type:Individual
Prefix:DR
First Name:VALERY
Middle Name:
Last Name:PETROSIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 GOLDENS BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:KATONAH
Mailing Address - State:NY
Mailing Address - Zip Code:10536-2810
Mailing Address - Country:US
Mailing Address - Phone:914-241-4900
Mailing Address - Fax:914-241-4976
Practice Address - Street 1:105 S BEDFORD RD STE 305
Practice Address - Street 2:
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-3450
Practice Address - Country:US
Practice Address - Phone:914-241-4900
Practice Address - Fax:914-241-4976
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-11
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 100218207V00000X
NY302134207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology