Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 280488 | NY |
NPI | 1114189156 |
---|---|
Provider Name | Byron Patton |
First Address | New York, NY 10075-1851 |
Second Address | New York, NY 10075-1851 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2008 |
Last Update Date | 21/06/2016 |