Individual
NICHOLAS PATINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(516) 639-7786
Mailing address
5 STUART DR W, GLEN COVE, NY 11542-2611
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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