MR. RYAN PETROWSKY ATC PA-C NPI 1497862205

NPI Information

NPI: 1497862205
Provider Name: MR. RYAN PETROWSKY, ATC, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
1450 CHAPEL ST
NEW HAVEN, CT
ZIP 06511
Phone: (203) 789-3200
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MR. Ryan Petrowsky, ATC, PA-C is a medical physician assistant in New Haven, CT. MR. Ryan Petrowsky, ATC, PA-C NPI is 1497862205. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1450 CHAPEL ST
NEW HAVEN, CT
ZIP 06511-405
Phone: (203) 789-3200

The NPI 1497862205 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/25/2006 and was last updated on 9/2/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2255A2300X	Specialist/Technologist	Athletic Trainer	000210	CONNECTICUT	No
2	363A00000X	Physician Assistant			CONNECTICUT	No
3	363AM0700X	Physician Assistant	Medical	2884	CONNECTICUT	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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