Individual
PHYLICIA PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
311 PROSSER RD, PORTVILLE, NY 14770-9724
(716) 307-0347
Mailing address
311 PROSSER RD, PORTVILLE, NY 14770-9724
(716) 307-0347
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F311167-01
NY
Other
Enumeration date
03/03/2023
Last updated
03/03/2023
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