Petroff, Dale A
Petroff, Dale A is an individual health care provider with primary practice located at 750 E Adams St , Syracuse NY 13210-2306. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Petroff, Dale A can be contacted via phone (315) 464-5612.Contact Information
Primary practice address
750 E Adams St
Syracuse NY 13210-2306
Phone: (315) 464-5612
Fax: (315) 464-6520
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 003830 | New York |
Profile Details
| NPI number | 1952395188 |
|---|---|
| LBN Legal business name | Petroff, Dale A |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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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