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Individual
DR. BRADY WILLIAM PATENAUDE
Active
Individual
DR. BRADY WILLIAM PATENAUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
011152
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10108516
CDPHP
NY
01
—
1065577
ASHN
NY
01
—
204061411
LANDMARK HEALTHCARE
NY
01
—
20406141102
PRISM HEALTH NETWORK
NY
01
—
C11152-8B
WORKERS' COMPENSATION
NY
01
—
NY11152
MVP HEALTH PLAN
NY
01
—
X08P21
BLUE CROSS/BLUE SHIELD
NY
Enumeration date
07/31/2006
Last updated
08/06/2013
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