Individual
DR. JEROMY RYAN PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11602 QUEENS BLVD STE A, FOREST HILLS, NY 11375-7055
(718) 301-1100
(718) 261-3893
Mailing address
6851 JERICHO TPKE STE 150, SYOSSET, NY 11791-4462
(516) 717-1817
(631) 204-6446
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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