Kevin A Patrizio, OD | |
30 E 60th St Rm 201, New York, NY 10022-1085 | |
(212) 355-5145 | |
Not Available |
Full Name | Kevin A Patrizio |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 30 E 60th St Rm 201, New York, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780200030 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | ODTG00697 (Rhode Island) | Primary |
152WC0802X | Optometrist - Corneal And Contact Management | ODTG00697 (Rhode Island) | Secondary |
Provider Name | Giulio G Diamante Md Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770761660 PECOS PAC ID: 7719098730 Enrollment ID: O20120613000024 |
Mailing Address | Practice Location Address |
---|---|
Kevin A Patrizio, OD 30 E 60th St Rm 201, New York, NY 10022-1085 Ph: (212) 355-5145 | Kevin A Patrizio, OD 30 E 60th St Rm 201, New York, NY 10022-1085 Ph: (212) 355-5145 |
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