Provider Demographics
NPI:1568724789
Name:PATTERSON, NATALIE CHRISTINE (MS SP ED)
Entity Type:Individual
Prefix:MISS
First Name:NATALIE
Middle Name:CHRISTINE
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:MS SP ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 WABASH AVE
Mailing Address - Street 2:LOWER
Mailing Address - City:KENMORE
Mailing Address - State:NY
Mailing Address - Zip Code:14217-2303
Mailing Address - Country:US
Mailing Address - Phone:585-749-5413
Mailing Address - Fax:
Practice Address - Street 1:121 WABASH AVE
Practice Address - Street 2:LOWER
Practice Address - City:KENMORE
Practice Address - State:NY
Practice Address - Zip Code:14217-2303
Practice Address - Country:US
Practice Address - Phone:585-749-5413
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-13
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist