Provider Demographics
NPI:1013155282
Name:MONZON, PATRICIA JIMENA (PATRICIA MONZON)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:JIMENA
Last Name:MONZON
Suffix:
Gender:F
Credentials:PATRICIA MONZON
Other - Prefix:MRS
Other - First Name:PATRICIA
Other - Middle Name:JIMENA
Other - Last Name:MONZON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PATRICIA MONZON
Mailing Address - Street 1:6 MONITOR CT
Mailing Address - Street 2:
Mailing Address - City:CORAM
Mailing Address - State:NY
Mailing Address - Zip Code:11727-1634
Mailing Address - Country:US
Mailing Address - Phone:917-566-1818
Mailing Address - Fax:
Practice Address - Street 1:6 MONITOR COURT
Practice Address - Street 2:
Practice Address - City:CORAM
Practice Address - State:NY
Practice Address - Zip Code:11727
Practice Address - Country:US
Practice Address - Phone:917-566-1818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-27
Last Update Date:2009-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY22 530727163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse