Individual
DR. GRIGORIY N PATISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
25MD00298800
NJ
213E00000X
Podiatrist
N005980
NY
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
E4987
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02639412
—
NY
Enumeration date
06/10/2006
Last updated
03/31/2021
Update your record
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