Individual
MR. RYAN PETROWSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, PA-C
Contact information
Practice address
1450 CHAPEL ST, NEW HAVEN, CT 06511-4405
(203) 789-3200
Mailing address
300 GEORGE ST, FL 6, NEW HAVEN, CT 06511-6624
(203) 785-6610
(203) 785-6414
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
000210
CT
363A00000X
Physician Assistant
—
CT
363AM0700X
Medical Physician Assistant
Primary
2884
CT
Other
Enumeration date
08/25/2006
Last updated
09/02/2016
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