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Individual

ANITA PATERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
255 E PROSPECT AVE, 1-A, MOUNT VERNON, NY 10550-1651
(718) 547-3504
Mailing address
255 E PROSPECT AVE, 1-A, MOUNT VERNON, NY 10550-1651
(718) 547-3504

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
286092
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02901733
NY
Enumeration date
10/26/2007
Last updated
10/26/2007
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  • EDI platform