Individual
DR. SERGEI N PETROCHKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
17 MAIN STREET, BINGHAMTON, NY 13905
(607) 723-8354
(607) 723-9017
Mailing address
631 VALLEYVIEW DRIVE, ENDWELL, NY 13760-2550
(607) 786-3741
(607) 786-3741
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
005330
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01482897
—
NY
Enumeration date
11/08/2006
Last updated
02/15/2008
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