NPI 1104566173

Luke Pettet, DO

Practitioner Hospitalist Physician Johnson City, NY

Practice location

Address: 33-57 Harrison St, Johnson City, NY 13790-2107
Phone: (607) 763-6622
Mailing address: 33 Lewis Rd Fl 2, Binghamton, NY 13905

Registered specialties (2)

Hospitalist Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208M00000X Licence 330242 (NY)

Other Hospitalist providers in New York →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1104566173
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Mar 2022
Record last updated: 6 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.