Individual
BRIAN PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
111 E 125TH ST, NEW YORK, NY 10035-1620
(917) 793-1300
Mailing address
122 HAVEN AVE, MOUNT VERNON, NY 10553-1331
(914) 434-4615
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
3253431
NY
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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