Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251G0304X | Physical Therapist - Geriatrics | 023882 | NY |
N | 2251N0400X | Physical Therapist - Neurology | 023882 | NY |
N | 2251S0007X | Physical Therapist - Sports | 023882 | NY |
Y | 2251X0800X | Physical Therapist - Orthopedic | 023882 | NY |
NPI | 1487290250 |
---|---|
Provider Name | David Andrew Patterson |
First Address | Amsterdam, NY 12010-7532 |
Second Address | Amsterdam, NY 12010-7532 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/11/2019 |
Last Update Date | 26/11/2019 |