Individual
DR. DAVID MARC PETROSINO X
Active
Individual
DR. DAVID MARC PETROSINO X
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
006097
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006097
LISCENCE NUMBER
NY
01
—
816181
MPN EMPIRE PLAN
NY
01
—
CO-6097-2
NYS WORKER'S COMPENSATIO
NY
Enumeration date
09/25/2006
Last updated
07/08/2007
Update your record
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