Patsakos, William John
Patsakos, William John is an individual health care provider with primary practice located at 261 Kissel Ave , Staten Island NY 10310-1623. He recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as his primary health care specialty. Patsakos, William John can be contacted via phone (917) 945-6104.Contact Information
Primary practice address
261 Kissel Ave
Staten Island NY 10310-1623
Phone: (917) 945-6104
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacotherapy | 1835P1200X | 045464 | New York |
Profile Details
| NPI number | 1780009068 |
|---|---|
| LBN Legal business name | Patsakos, William John |
| Credentials | PHARM.D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2014 |
| Last updated | Feb 24th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780009068 | NPPES |
| New York | MEDICAID | 045464 |
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