Individual
DALE A PETROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-5612
(315) 464-6520
Mailing address
4549 SUMMERFIELD DR, CAZENOVIA, NY 13035-9766
(315) 655-9089
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003830
NY
Other
Enumeration date
09/02/2005
Last updated
07/08/2007
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