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Individual
PATRICIA A FORD
Active
Individual
PATRICIA A FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
166666
NY
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
166666
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060308000018
FIDELIS CARE
NY
01
—
10051364
CDPHP
NY
01
—
11537592
CAQH
—
01
—
4061644
AETNA
NY
01
—
4147085
MVP
NY
01
—
5617D1
BLUE CROSS
NY
01
—
5617D2
BLUE CROSS
NY
Enumeration date
01/12/2006
Last updated
05/18/2021
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