MEDICARE: YURY PATIN II

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	174400000X	Specialist	204599	NY

General Provider Information

NPI Number	:	1548325400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YURY PATIN II

Provider Business Mailing Address
First Line	:	1432 HYLAN BLVD
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10305-1923
Country	:	US
Telephone Number	:	718-980-6868
Fax Number	:	718-351-0579

Provider Business Practice Location Address
First Line	:	1432 HYLAN BLVD
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10305-1923
Country	:	US
Telephone Number	:	718-980-6868
Fax Number	:	718-351-0579

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/22/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1508980749 — BROOKLYN PHYSICIANS PC
Practice Location Address:

1432 HYLAN BLVD
STATEN ISLAND, NY
10305-1923

Practice Phone: 718-980-6868
Practice Fax:

1902080971 — DRG MEDICAL PC
Practice Location Address:

1454 HYLAN BLVD
STATEN ISLAND, NY
10305-1923

Practice Phone: 718-236-1056
Practice Fax:

1326204397 — ST DENTAL
Practice Location Address:

1432 HYLAN BLVD , 2ND FLOOR
STATEN ISLAND, NY
10305-1923

Practice Phone: 973-479-3352
Practice Fax:

1942435334 — SIPA, PLLC
Practice Location Address:

1454 HYLAN BLVD
STATEN ISLAND, NY
10305-1923

Practice Phone: 201-390-3566
Practice Fax:

1588996607 — FRAZIER MEDICAL ASSOCIATES, LLC
Practice Location Address:

1432 HYLAN BLVD , 2ND FLOOR
STATEN ISLAND, NY
10305-1923

Practice Phone: 718-980-6868
Practice Fax: 718-351-0579

1154776367 — DR. MIRO LATI D.O.
Practice Location Address:

1432 HYLAN BLVD
STATEN ISLAND, NY
10305-1923

Practice Phone: 718-238-6161
Practice Fax: 718-238-6194

Directions to “ YURY PATIN II ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.