Individual
MR. GREGORY JOHN PATAKY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
APA-C
Contact information
Practice address
11050 MT BELVEDERE BLVD, USA MEDDAC ATTN: CREDENTIALS, FORT DRUM, NY 13602-5004
(315) 772-4025
(315) 772-9498
Mailing address
11050 MT BELVEDERE BLVD, USA MEDDAC ATTN: CREDENTIALS, FORT DRUM, NY 13602-5004
(315) 772-4025
(315) 772-9498
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
01/04/2006
Last updated
07/08/2007
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