Individual
DR. DAVID MARC PETROSINO X
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5 HAMILTON AVE # 1, AUBURN, NY 13021-4819
(315) 252-2828
(315) 255-1965
Mailing address
5 HAMILTON AVE # 1, AUBURN, NY 13021-4819
(315) 252-2828
(315) 255-1965
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
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