Individual
MR. GREGORY PATTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC T
Contact information
Practice address
40 ANN ST, NEW YORK, NY 10038-2716
(518) 606-4150
Mailing address
40 ANN ST, NEW YORK, NY 10038-2716
(518) 606-4150
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
35623
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35623
—
NY
05
—
444542
—
NY
Enumeration date
09/18/2019
Last updated
09/18/2019
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