RUSSELL PETRIE

UTICA, NY
NPI1710927710
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  004697)
Enumeration Date2006-06-07
Last Update Date2007-07-16
Business Address
-- RUSSELL PETRIE PA-C
2209 GENESEE ST
UTICA, NY 13501-5930
Phone number: 315-798-8111
Mailing Address
-- RUSSELL PETRIE PA-C
307 S EVERGREEN AVE
WOODBURY, NJ 08096-2739
Phone number: 856-686-4300
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