Provider Demographics
NPI:1720246739
Name:PETROSKY, ANGELA LYNN (PA-C)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:LYNN
Last Name:PETROSKY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4490 MOUNT ROYAL BLVD STE 3100
Mailing Address - Street 2:
Mailing Address - City:ALLISON PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15101-2685
Mailing Address - Country:US
Mailing Address - Phone:412-219-0386
Mailing Address - Fax:412-219-0391
Practice Address - Street 1:4490 MOUNT ROYAL BLVD STE 3100
Practice Address - Street 2:
Practice Address - City:ALLISON PARK
Practice Address - State:PA
Practice Address - Zip Code:15101-2685
Practice Address - Country:US
Practice Address - Phone:412-219-0386
Practice Address - Fax:412-219-0391
Is Sole Proprietor?:No
Enumeration Date:2008-05-27
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA053109363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical