Provider Demographics
NPI:1477611770
Name:PATTON, TODD C (MD)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:C
Last Name:PATTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:MR
Other - First Name:TODD
Other - Middle Name:C
Other - Last Name:PATTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:59 ALBEMARLE PL
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-6711
Mailing Address - Country:US
Mailing Address - Phone:914-613-7824
Mailing Address - Fax:
Practice Address - Street 1:2393 CENTRAL PARK AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10710-1215
Practice Address - Country:US
Practice Address - Phone:914-219-0393
Practice Address - Fax:914-709-4097
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY226388207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY73V55EE3G1Medicare PIN