Provider Demographics
NPI:1528173481
Name:PATT, MITCHELL VICTOR (MD)
Entity type:Individual
Prefix:DR
First Name:MITCHELL
Middle Name:VICTOR
Last Name:PATT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8194 OLD SUNRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MANLIUS
Mailing Address - State:NY
Mailing Address - Zip Code:13104-2212
Mailing Address - Country:US
Mailing Address - Phone:315-682-2278
Mailing Address - Fax:315-682-5185
Practice Address - Street 1:8194 OLD SUNRIDGE DR
Practice Address - Street 2:
Practice Address - City:MANLIUS
Practice Address - State:NY
Practice Address - Zip Code:13104-2212
Practice Address - Country:US
Practice Address - Phone:315-682-2278
Practice Address - Fax:315-682-5185
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NY144082207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease