Provider Demographics
NPI:1699863522
Name:VETERE, PATRICK F (MD)
Entity type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:F
Last Name:VETERE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2800 MARCUS AVENUE
Mailing Address - Street 2:
Mailing Address - City:LAKE SUCCESS
Mailing Address - State:NY
Mailing Address - Zip Code:11042
Mailing Address - Country:US
Mailing Address - Phone:516-622-6196
Mailing Address - Fax:516-608-2889
Practice Address - Street 1:520 FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-5806
Practice Address - Country:US
Practice Address - Phone:516-746-0010
Practice Address - Fax:516-746-8865
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2015-09-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY125583207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B13506Medicare UPIN
345421Medicare ID - Type Unspecified