Individual
STEPHANIE PATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1450 WESTERN AVE STE 102, ALBANY, NY 12203-3539
(518) 463-0050
Mailing address
1450 WESTERN AVE STE 102, ALBANY, NY 12203-3539
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
680966
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/15/2023
Last updated
11/28/2023
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