Provider Demographics
NPI:1184944456
Name:PETTEI, THOMAS JOSEPH (MD)
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:JOSEPH
Last Name:PETTEI
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Gender:M
Credentials:MD
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Mailing Address - Street 1:45 RESEARCH WAY STE 105
Mailing Address - Street 2:STONY BROOK INTERNISTS
Mailing Address - City:EAST SETAUKET
Mailing Address - State:NY
Mailing Address - Zip Code:11733-6401
Mailing Address - Country:US
Mailing Address - Phone:631-675-2125
Mailing Address - Fax:631-675-2624
Practice Address - Street 1:45 RESEARCH WAY STE 108
Practice Address - Street 2:STONY BROOK INTERNISTS
Practice Address - City:EAST SETAUKET
Practice Address - State:NY
Practice Address - Zip Code:11733-6401
Practice Address - Country:US
Practice Address - Phone:631-941-2000
Practice Address - Fax:631-941-2010
Is Sole Proprietor?:No
Enumeration Date:2010-06-09
Last Update Date:2016-08-24
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Provider Licenses
StateLicense IDTaxonomies
NY271062207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease