Individual
DR. DOUGLAS M PETROSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
68 QUAKER RD, QUEENSBURY, NY 12804-1711
(518) 793-5601
(518) 793-5916
Mailing address
68 QUAKER RD, QUEENSBURY, NY 12804-1711
(518) 793-5601
(518) 793-5916
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
134641
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00500243
—
NY
Enumeration date
07/12/2006
Last updated
03/18/2014
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