DIMITRY PETTAWAY

OCEANSIDE, NY
NPI1154203164
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2025-07-22
Last Update Date2025-07-22
Business Address
DIMITRY PETTAWAY
2837 LONG BEACH RD
OCEANSIDE, NY 11572-2233
Phone number: 516-461-6919
Mailing Address
DIMITRY PETTAWAY
576 BROADHOLLOW RD
MELVILLE, NY 11747-5012
Phone number: 631-359-5859
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