Individual
KAYLA PETUTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19 LAUREL AVE, CORNWALL, NY 12518-1403
(845) 458-4267
Mailing address
70 DUBOIS ST, NEWBURGH, NY 12550-4851
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
04859901
NY
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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