Petrie, Russell
Petrie, Russell is an sole proprietor health care provider with primary practice located at 2209 Genesee St , Utica NY 13501-5930. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Petrie, Russell can be contacted via phone (315) 798-8111.Contact Information
Primary practice address
2209 Genesee St
Utica NY 13501-5930
Phone: (315) 798-8111
Fax: (315) 734-3158
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 004697 | New York |
Profile Details
| NPI number | 1710927710 |
|---|---|
| LBN Legal business name | Petrie, Russell |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Jul 16th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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