Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Stephen James Petruccelli, DC

Individual provider Sports Physician Chiropractor · NPI 1710045208

Dr. Stephen James Petruccelli, DC is a Chiropractic in Sag Harbor, New York. Qualified in 2001, 25 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
25
Licensed in
NY
In the registry since
2006
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

39 Division St
Sag Harbor, NY 11963
Phone: (631) 725-8209
Fax: (631) 919-1592
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Physician Chiropractor (primary) Taxonomy 111NS0005X · Licence X010203 (NY)

Record details

NPI number1710045208
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedDecember 5, 2006
Last updated in NPPESMarch 17, 2011
Mailing addressPo Box 2902, Sag Harbor, NY 11963-0401

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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