Individual
DAVID FREDERICK PETTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1342 NEW SENECA TPKE, SKANEATELES, NY 13152-8802
(315) 685-0710
(315) 685-8794
Mailing address
1342 NEW SENECA TPKE, SKANEATELES, NY 13152-8802
(315) 685-0710
(315) 685-8794
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4856
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO 4856-3
WORKERS' COMPENSATION
NY
Enumeration date
11/04/2006
Last updated
07/08/2007
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