Priyam Pattnaik
Pediatrician
1 Brookdale Plz Department Of Pediatrics
Brooklyn
, New York 11212-3139
Priyam Pattnaik
Pediatrician
1 Brookdale Plz Department Of Pediatrics
Brooklyn
, New York 11212-3139
(917) 715-8893
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- Priyam Pattnaik
- 1601 Tenbroeck Ave Fl 2
- Bronx, NY
- Zip : 10461-2007
- Phone : (917) 715-8893
Second Address
- Priyam Pattnaik
- 1 Brookdale Plz Department Of Pediatrics
- Brooklyn, NY
- Zip : 11212-3139
- Phone : (917) 715-8893
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 285824 | NY |
National Provider Identifier
| NPI | 1003226937 |
|---|---|
| Provider Name | Priyam Pattnaik |
| First Address | Bronx, NY 10461-2007 |
| Second Address | Brooklyn, NY 11212-3139 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/04/2014 |
| Last Update Date | 12/06/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.