Individual
MELISSA ANN PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5141 BROADWAY, NEW YORK, NY 10034-1159
(212) 932-4080
(212) 932-4261
Mailing address
630 W 168TH ST # 4, NEW YORK, NY 10032-3725
(212) 932-4080
(212) 932-4261
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
305746
NY
207QG0300X
Geriatric Medicine (Family Medicine) Physician
4351027879
MI
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
305746
NY
390200000X
Student in an Organized Health Care Education/Training Program
4301110541
MI
Other
Enumeration date
06/20/2016
Last updated
06/16/2021
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