Individual
KEVIN A PATRIZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
30 E 60TH ST RM 201, NEW YORK, NY 10022-1085
(212) 355-5145
Mailing address
30 E 60TH ST RM 201, NEW YORK, NY 10022-1085
(212) 355-5145
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODTG00697
RI
152WC0802X
Corneal and Contact Management Optometrist
ODTG00697
RI
Other
Enumeration date
06/23/2020
Last updated
12/28/2021
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