Patterson, Dwayne

Patterson, Dwayne is an individual health care provider with primary practice located at 25 Avenue D , New York NY 10009-6935. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Patterson, Dwayne can be contacted via phone (646) 395-4400.

Contact Information

Primary practice address
25 Avenue D New York NY 10009-6935
Phone: (646) 395-4400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1518467844
LBN Legal business name Patterson, Dwayne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2018
Last updated Feb 13th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518467844 NPPES
New York MEDICAID 135562210

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