Individual
MRS. PATRICIA LEE UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2 CROSFIELD AVE, SUITE 318, WEST NYACK, NY 10994-2226
(845) 353-5600
(845) 353-5668
Mailing address
20 GRAND ST FL 3, CREDENTIALING MANAGER, WARWICK, NY 10990-1035
(845) 987-3906
(845) 987-5979
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
30 305392
NY
Other
Enumeration date
06/15/2010
Last updated
05/18/2015
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