Petrosino, David Marc

Petrosino, David Marc is an sole proprietor health care provider with primary practice located at 5 Hamilton Ave # 1 , Auburn NY 13021-4819. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Petrosino, David Marc can be contacted via phone (315) 252-2828.

Contact Information

Primary practice address
5 Hamilton Ave # 1 Auburn NY 13021-4819
Phone: (315) 252-2828
Fax: (315) 255-1965
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 006097 New York

Profile Details

NPI number 1790885044
LBN Legal business name Petrosino, David Marc
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790885044 NPPES
New York Other CO-6097-2 NYS WORKER'S COMPENSATIO
New York Other 006097 NYS WORKER'S COMPENSATIO
New York Other 816181 NYS WORKER'S COMPENSATIO

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