Dwayne Patterson is a Peer Specialist based in New York, NY. Dwayne Patterson practices in New York, NY. The NPI Number for Dwayne Patterson is 1518467844 and holds a License No. (New York).
The current practice location address for Dwayne Patterson is 25 Avenue D, New York, NY and can be reached out via phone at 646-395-4400.
Location: 25 Avenue D, New York, NY, 10032-7008
Provider Profile Details
NPI Number
1518467844
Provider Name
Dwayne Patterson
Credential
Provider Entity Type
Individual
Gender
Male
Address
25 Avenue D, New York, NY, 10032-7008
Phone Number
646-395-4400
Fax Number
Provider Enumeration Date
02/13/2018
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 135562210 | 05 | NY |
Provider Business Practice Location Address Details
Address
25 Avenue D
City
State
Zip
10009-6935
Phone Number
646-395-4400
Fax Number
Provider Business Mailing Address Details
Address
25 Avenue D
City
State
Zip
10009-6935
Phone Number
646-395-4400
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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