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Individual
JOEL R PATTERSON
Active
Individual
JOEL R PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
007077-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000570241002
HEALTH NOW
NY
05
—
00481003
—
NY
01
—
9512243
IHA
NY
05
—
BB8256
—
NY
Enumeration date
08/03/2006
Last updated
03/17/2008
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