Active NPIIndividual providerSole proprietor

Ms. Patricia Douglas, MS

Specialist in Staten Island, New York

NPI Number1104171818
Practice location
1550 Forest Hill RD, Staten Island, NY 10314-6336
Fax
718-698-2991
Last updated
July 18, 2012

Patricia Douglas is a Specialist based in Staten Island, NY. Patricia Douglas practices in Staten Island, NY and has the professional credentials of MS. The NPI Number for Patricia Douglas is 1104171818 and holds a License No. certified (NY). The current practice location address for Patricia Douglas is 1550 Forest Hill RD, Staten Island, NY 10314-6336 and can be reached out via phone at 917-751-7599 and via fax at 718-698-2991.

Provider Profile Details

NPI Number
1104171818
Provider Name
Patricia Douglas
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
1550 Forest Hill RD, Staten Island, NY 10314-6336
Phone Number
917-751-7599
Fax Number
718-698-2991
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
Yes
Provider Enumeration Date
July 18, 2012
Last Update Date
July 18, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
1550 Forest Hill RD
Staten Island, NY 10314-6336
Zip
10314-6336
Phone Number
917-751-7599
Fax Number
718-698-2991
Staten Island, NY 10314Get directions →

Provider Business Mailing Address Details

Address
1550 Forest Hill RD
Staten Island, NY 10314-6336
City
Staten Island
State
NY
Zip
10314-6336

License Information

License Number
certified
License State
NY
Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Patricia Douglas, MS?

The NPI number of Ms. Patricia Douglas, MS is 1104171818. It was assigned on July 18, 2012 and is currently active in the NPPES registry.

What is the specialty of Ms. Patricia Douglas, MS?

Ms. Patricia Douglas, MS is registered under the primary taxonomy Specialist (code 174400000X), licensed in NY under license number certified.

Where does Ms. Patricia Douglas, MS practice?

The practice location is 1550 Forest Hill RD, Staten Island, NY 10314-6336. The office can be reached at 917-751-7599 (phone) or 718-698-2991 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104171818 directly on the NPPES registry website.

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