Individual
FREDERIC P ATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
121 LEGION DR, COBLESKILL, NY 12043-5111
(518) 254-3450
(518) 234-8449
Mailing address
PO BOX 725, COOPERSTOWN, NY 13326-0725
(518) 254-3450
(518) 234-8449
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004257
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02135880
—
NY
Enumeration date
05/22/2006
Last updated
09/28/2011
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