Basic Information
Provider Information
NPI: 1174075824
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MCPARTLAND
FirstName: PATRICIA
MiddleName: GERALDINE
NamePrefix: MRS.
NameSuffix:  
Credential: FNP-BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: MORRIS
OtherFirstName: PATRICIA
OtherMiddleName: GERALDINE
OtherNamePrefix: MISS
OtherNameSuffix:  
OtherCredential: RN
OtherLastNameType: 1
Mailing Information
Address1: 90 S BEDFORD RD
Address2: CAREMOUNT MEDICAL PC
City: MOUNT KISCO
State: NY
PostalCode: 105493412
CountryCode: US
TelephoneNumber: 9142411050
FaxNumber: 9142421373
Practice Location
Address1: 90 S BEDFORD RD
Address2: CAREMOUNT MEDICAL PC
City: MOUNT KISCO
State: NY
PostalCode: 105493412
CountryCode: US
TelephoneNumber: 9142411050
FaxNumber: 9142421373
Other Information
ProviderEnumerationDate: 10/28/2016
LastUpdateDate: 01/23/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XF341091NYY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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