MEDICARE: BENTLEY L. PATTERSON, M.D. PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician

General Provider Information

NPI Number	:	1003063132
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BENTLEY L. PATTERSON, M.D. PLLC

Provider Business Mailing Address
First Line	:	6811 FORT HAMILTON PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-5856
Country	:	US
Telephone Number	:	718-491-8918
Fax Number	:	718-491-8915

Provider Business Practice Location Address
First Line	:	6811 FORT HAMILTON PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-5856
Country	:	US
Telephone Number	:	718-491-8918
Fax Number	:	718-491-8915

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. BENTLEY LORENE PATTERSON
Credential	:	M.D
Telephone Number	:	718-491-8918

Provider Enumeration Date	:	08/20/2008
Last Update Date	:	06/18/2014

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