Individual provider · Type 1 NPI

Patricia Douglas, MS

Specialist · Staten Island, NY

NPI number 1104171818 Active

Practice location

1550 Forest Hill Rd
Staten Island, NY 10314-6336

Call (917) 751-7599 Map

Fax (718) 698-2991

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XCERTIFIED (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1104171818

Patricia Douglas, MS's National Provider Identifier is 1104171818, issued on Jul 18, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Staten Island, NY. The record was last updated on Jul 18, 2012.