person
Casey Susan Petronella, DO
Student in an Organized Health Care Education/Training Program in Middletown, New York
NPI 1760174148

Casey Susan Petronella is a Student in an Organized Health Care Education/Training Program based in Middletown, NY. Casey Susan Petronella practices in Middletown, NY and has the professional credentials of DO. The NPI Number for Casey Susan Petronella is 1760174148 and holds a License No. (New York).

The current practice location address for Casey Susan Petronella is 707 E Main St, Middletown, NY and can be reached out via phone at 845-333-1000.

Location: 707 E Main St, Middletown, NY, 10940-2650
person
Provider Profile Details
NPI Number
1760174148
Provider Name
Casey Susan Petronella
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
707 E Main St, Middletown, NY, 10940-2650
Phone Number
845-333-1000
Fax Number
Provider Enumeration Date
05/23/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
707 E Main St
City
State
Zip
10940-2650
Phone Number
845-333-1000
Fax Number
person
Provider Business Mailing Address Details
Address
707 E Main St
City
State
Zip
10940-2650
Phone Number
845-333-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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