Mark Petruzzi, L.AC., L.M.T

NPI 1235433301 · on the registry since 2011 · sole proprietor

Practice

Address: 5225 Rte 347
Port Jefferson Station, NY 11776
Phone: (631) 559-2220
Organisation at this address: Sanroman Fertility Medicine, P.C.
San Roman Fertility Medicine, P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 171100000X
171100000X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2011-01-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York