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General NPI Number Information
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NPI Number | 1619095874
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Entity Type | Individual
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Provider Name | PATRICIA ANNE MUEHSAM M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 903 PARK AVE
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City | NEW YORK
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State | NY
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Zip | 10021-0338
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Country | US
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Telephone | 212-946-5700
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Fax | 212-535-3321
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Provider Business Mailing Address
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Address Line | 2 E 75TH ST
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City | NEW YORK
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State | NY
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Zip | 10021-2631
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Country | US
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Telephone | 212-772-0280
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Fax | 212-861-1155
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 194755
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License Number State | NY
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