Anthony Petraglia
Neurosurgeon
2655 Ridgeway Ave Suite 340
Rochester
, New York 14626-4296
Anthony Petraglia
Neurosurgeon
2655 Ridgeway Ave Suite 340
Rochester
, New York 14626-4296
(585) 368-6546
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About
Features
Specialties
- Neurosurgeon
Languages spoken
- English
Location
First Address
- Anthony Petraglia
- 2655 Ridgeway Ave Suite 340
- Rochester, NY
- Zip : 14626-4296
- Fax : (585) 368-6546
- Phone : (585) 368-6545
Second Address
- Anthony Petraglia
- 2655 Ridgeway Ave Suite 340
- Rochester, NY
- Zip : 14626-4296
- Fax : (585) 368-6546
- Phone : (585) 368-6545
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207T00000X | Neurosurgeon | 259616 | NY |
National Provider Identifier
| NPI | 1043346398 |
|---|---|
| Provider Name | Anthony Petraglia |
| First Address | Rochester, NY 14626-4296 |
| Second Address | Rochester, NY 14626-4296 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/02/2007 |
| Last Update Date | 22/05/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 03872837 | (05) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.