Individual provider · Type 1 NPI

Ryan Petrowsky, ATC, PA-C

Medical Physician Assistant · New Haven, CT

NPI number 1497862205 Active

Practice location

1450 Chapel St
New Haven, CT 06511-4405

Mailing address

300 George St, Fl 6
New Haven, CT 06511-6624

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300X000210 (CT)
Physician Assistant 363A00000XNone listed
Medical Physician Assistant Primary 363AM0700X2884 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1497862205

Ryan Petrowsky, ATC, PA-C's National Provider Identifier is 1497862205, issued on Aug 25, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New Haven, CT. The record was last updated on Sep 2, 2016.