Rissacher, Patty

Rissacher, Patty is an individual health care provider with primary practice located at 80 E Main St , Canton NY 13617-1450. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Rissacher, Patty can be contacted via phone (315) 261-7180.

Contact Information

Primary practice address
80 E Main St Canton NY 13617-1450
Fax: (315) 261-7183
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 042-0011547 Vermont
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 266529 New York

Profile Details

NPI number 1942333745
LBN Legal business name Rissacher, Patty
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2007
Last updated Feb 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942333745 NPPES
Vermont MEDICAID 1015060

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