Individual
DR. ANTHONY JOHN PATRELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 COLUMBIA ST, POUGHKEEPSIE, NY 12601-3923
(845) 473-1188
Mailing address
1351 ROUTE 55, SUITE 101, LAGRANGEVILLE, NY 12540-5128
(845) 475-9500
(845) 475-9515
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
249596
NY
207RI0011X
Interventional Cardiology Physician
Primary
249596
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04306314
—
NY
Enumeration date
06/16/2008
Last updated
09/18/2024
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