Provider Demographics
NPI:1710244512
Name:PATTERSON, DIANA CHOATE (MD)
Entity Type:Individual
Prefix:DR
First Name:DIANA
Middle Name:CHOATE
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:101 NICHOLS ROAD
Mailing Address - Street 2:DEPARTMENT OF ORTHOPAEDICS, HSC T-18, RM 020
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11794-8181
Mailing Address - Country:US
Mailing Address - Phone:631-216-8187
Mailing Address - Fax:631-444-8899
Practice Address - Street 1:14 TECHNOLOGY DR STE 11
Practice Address - Street 2:
Practice Address - City:EAST SETAUKET
Practice Address - State:NY
Practice Address - Zip Code:11733-3464
Practice Address - Country:US
Practice Address - Phone:631-216-8187
Practice Address - Fax:631-444-8899
Is Sole Proprietor?:No
Enumeration Date:2012-04-18
Last Update Date:2022-04-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2018008559207XX0005X
NY283069207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine