Individual
KYLE PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
1600 MACOMBS RD, BRONX, NY 10452-2016
(718) 299-3300
Mailing address
1600 MACOMBS RD, BRONX, NY 10452-2016
(718) 299-3300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23007
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23007
SUBSTANCE ABUSE
NY
Enumeration date
09/29/2014
Last updated
09/29/2014
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