Individual provider · Type 1 NPI
Stephen James Petruccelli, DC
Sports Physician Chiropractor · Sag Harbor, NY
Practice location
39 Division Street
Sag Harbor, NY 11963
Fax (631) 919-1592
Mailing address
PO Box 2902
Sag Harbor, NY 11963-0401
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Sports Physician Chiropractor Primary | 111NS0005X | X010203 (NY) |
Sports Physician Chiropractor: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training …
About NPI 1710045208
Stephen James Petruccelli, DC's National Provider Identifier is 1710045208, issued on Dec 5, 2006. The primary taxonomy on file is Sports Physician Chiropractor (111NS0005X), and the practice location is in Sag Harbor, NY. The record was last updated on Mar 17, 2011.