# DR. BRADY WILLIAM PATENAUDE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1740296938
- **Gender:** Man
- **Credential:** DC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 011152 | NY | Yes |

## Other

- **Enumeration date:** 07/31/2006
- **Last updated:** 08/06/2013

## 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 |