Patterson, Jeromy Ryan

Patterson, Jeromy Ryan is an sole proprietor health care provider with primary practice located at 11602 Queens Blvd Ste A , Forest Hills NY 11375-7055. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Patterson, Jeromy Ryan can be contacted via phone (718) 301-1100.

Contact Information

Primary practice address
11602 Queens Blvd Ste A Forest Hills NY 11375-7055
Phone: (718) 301-1100
Fax: (718) 261-3893
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 278937 New York

Profile Details

NPI number 1770877953
LBN Legal business name Patterson, Jeromy Ryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2011
Last updated Oct 12th, 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 1770877953 NPPES
New York Other 1720357817 NYC SURGICAL ASSOCIATES
New York MEDICAID 04680333 NYC SURGICAL ASSOCIATES

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