Individual provider · Type 1 NPI

David Petroff, PA-C

Surgical Physician Assistant · Syracuse, NY

NPI number 1134636251 Active

Practice location

301 Prospect Ave
Syracuse, NY 13203-1807

Mailing address

9 Deerfield Rd
Liverpool, NY 13090-2318

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Surgical Physician Assistant Primary 363AS0400XNone listed

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About NPI 1134636251

David Petroff, PA-C's National Provider Identifier is 1134636251, issued on Jan 10, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Syracuse, NY. The record was last updated on Jan 10, 2018.