Provider Demographics
NPI:1649401217
Name:PATELLA, ROBYN CARISSA (MS, RPA-C)
Entity Type:Individual
Prefix:MRS
First Name:ROBYN
Middle Name:CARISSA
Last Name:PATELLA
Suffix:
Gender:F
Credentials:MS, RPA-C
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Mailing Address - Street 1:43 NOSTRAND AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-3244
Mailing Address - Country:US
Mailing Address - Phone:718-698-4421
Mailing Address - Fax:
Practice Address - Street 1:355 BARD AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10310-1664
Practice Address - Country:US
Practice Address - Phone:718-818-4636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-30
Last Update Date:2009-07-30
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant