Individual
DR. JEROMY RYAN PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
278937
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04680333
—
NY
01
—
1720357817
NYC SURGICAL ASSOCIATES
NY
Enumeration date
06/05/2011
Last updated
10/12/2018
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