Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | 305746 | NY |
N | 207QG0300X | Family Doctor - Geriatric Medicine | 4351027879 | MI |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 305746 | NY |
NPI | 1205286465 |
---|---|
Provider Name | Melissa Ann Patterson |
First Address | New York, NY 10032-3725 |
Second Address | New York, NY 10034-1159 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2016 |
Last Update Date | 16/06/2021 |