Individual
DR. PATRICIA FOGARTY MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10021-4870
(212) 746-2790
(212) 746-8108
Mailing address
575 LEXINGTON AVE, NEW YORK, NY 10022-6102
(212) 746-0373
(212) 746-7481
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
185915
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01591708
—
NY
Enumeration date
10/09/2006
Last updated
11/19/2024
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