Individual
DR. CHESTER L PATRICK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
215 W THOMAS ST, ROME, NY 13440-5018
(315) 336-0250
(315) 336-0919
Mailing address
PO BOX 612, NEW HARTFORD, NY 13413-0612
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
NY155428
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00780290
—
NY
Enumeration date
12/22/2005
Last updated
03/08/2022
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