Petruzzi, Mark Edward

Petruzzi, Mark Edward is an sole proprietor health care provider with primary practice located at 5225 Rte 347 , Port Jefferson Station NY 11776-2053. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Petruzzi, Mark Edward can be contacted via phone (631) 559-2220.

Contact Information

Primary practice address
5225 Rte 347 Port Jefferson Station NY 11776-2053
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X 2813 New York

Profile Details

NPI number 1235433301
LBN Legal business name Petruzzi, Mark Edward
Credentials L.AC., L.M.T.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2011
Last updated Jan 5th, 2011 - about 13 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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