National Provider Identifier
David Michael Pettine, LMSW
David Michael Pettine, LMSW is listed in the NPPES registry with a primary specialty of Social Worker in Victor, NY and a listed phone number of (585) 704-1888.
Profile Overview
- NPI
- 1497433569
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- July 10, 2023
- Last Updated
- July 10, 2023
Practice Location
- 1075 Azzano Cir
- Victor, NY 14564-9289
Phone: (585) 704-1888
Specialties
- Social Worker (104100000X)
Full Record
- NPI
- 1497433569
- Entity Type
- Individual
- Last Name
- Pettine
- First Name
- David
- Middle Name
- Michael
- Credential
- LMSW
- Mailing Street Address
- 1075 Azzano Cir
- Mailing City
- Victor
- Mailing State
- NY
- Mailing ZIP Code
- 14564-9289
- Mailing Country
- US
- Mailing Phone
- (585) 704-1888
- Practice Street Address
- 1075 Azzano Cir
- Practice City
- Victor
- Practice State
- NY
- Practice ZIP Code
- 14564-9289
- Practice Country
- US
- Practice Phone
- (585) 704-1888
- Enumeration Date
- July 10, 2023
- Last Updated
- July 10, 2023
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- July 09, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X)