Provider Demographics
NPI:1528203528
Name:PATANE, CATHLEEN ANN (FNP)
Entity Type:Individual
Prefix:
First Name:CATHLEEN
Middle Name:ANN
Last Name:PATANE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:CATHLEEN
Other - Middle Name:ANN
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 800
Mailing Address - Street 2:
Mailing Address - City:HARRIS
Mailing Address - State:NY
Mailing Address - Zip Code:12742-0800
Mailing Address - Country:US
Mailing Address - Phone:845-794-4620
Mailing Address - Fax:845-794-3060
Practice Address - Street 1:68 HARRIS BUSHVILLE RD
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:NY
Practice Address - Zip Code:12701-3027
Practice Address - Country:US
Practice Address - Phone:845-794-4620
Practice Address - Fax:845-794-3060
Is Sole Proprietor?:No
Enumeration Date:2008-12-05
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF331512363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily