Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | X3544 | NY |
NPI | 1164628822 |
---|---|
Provider Name | Arthur Patterson |
First Address | Staten Island, NY 10310-2256 |
Second Address | Staten Island, NY 10310-2256 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2007 |
Last Update Date | 08/07/2007 |