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Individual

ANTHONY PETRAGLIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2655 RIDGEWAY AVE, SUITE 340, ROCHESTER, NY 14626-4296
(585) 368-6545
(585) 368-6546
Mailing address
2655 RIDGEWAY AVE, SUITE 340, ROCHESTER, NY 14626-4296
(585) 368-6545
(585) 368-6546

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
259616
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03872837
NY
Enumeration date
02/23/2007
Last updated
01/05/2023
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