Individual
DAVID PETRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3946 ONEIDA ST., NEW HARTFORD, NY 13413
(315) 624-8300
(315) 624-5152
Mailing address
2209 GENESEE STREET, BUSINESS OFFICE ROOM 310, UTICA, NY 13501-5930
(315) 801-3282
(315) 801-8391
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
172783
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172783
—
NY
Enumeration date
10/02/2006
Last updated
03/13/2019
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