Individual
DR. LORETTA L PATTONGREENIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
333 KNICKERBOCKER AVE, BROOKLYN, NY 11237-3601
(718) 381-5600
(718) 456-1068
Mailing address
PO BOX 26246, NEW YORK, NY 10087-6246
(718) 604-5574
(718) 604-5527
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
145509
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145509
MEDICAL LICENSE #
NY
Enumeration date
01/03/2007
Last updated
07/08/2007
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