NPI Code Details Logo

NPI 1093875635

NPI 1093875635 : KRISTINE B PATTERSON MD : NEW YORK, NY

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1093875635
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    KRISTINE B PATTERSON MD
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/12/2006
-----------------------------------------------------
    Last Update Date     |    06/03/2016
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    184 FORT WASHINGTON AVENUE 
-----------------------------------------------------
    City                 |    NEW YORK
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    10032
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    212-305-7185
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    630 W 168TH ST BOX 4
-----------------------------------------------------
    City                 |    NEW YORK
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    10032-3725
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    212-342-5155
-----------------------------------------------------
    Fax                  |    919-843-5515
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207RI0200X
-----------------------------------------------------
    Taxonomy Name        |    Infectious Disease Physician
-----------------------------------------------------
    License Number       |    200001519
-----------------------------------------------------
    License Number State |    NC
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207RI0200X
-----------------------------------------------------
    Taxonomy Name        |    Infectious Disease Physician
-----------------------------------------------------
    License Number       |    280274
-----------------------------------------------------
    License Number State |    NY
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.