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Individual

ANTHONY J PETRUCCI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
235 NORTH AVE, PENN YAN, NY 14527-1051
(315) 536-7447
Mailing address
250 WASHINGTON ST, GENEVA, NY 14456-2708
(315) 745-9438

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
021694
NY

Other

Enumeration date
05/31/2016
Last updated
05/31/2016
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