Patterson, Precious Darella

Patterson, Precious Darella is an sole proprietor health care provider with primary practice located at 3315 Kingsland Ave , Bronx NY 10469-2711. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Patterson, Precious Darella can be contacted via phone (917) 902-1380.

Contact Information

Primary practice address
3315 Kingsland Ave Bronx NY 10469-2711
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X

Profile Details

NPI number 1770030272
LBN Legal business name Patterson, Precious Darella
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 1st, 2016
Last updated Sep 1st, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770030272 NPPES
New York MEDICAID QR01877A

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