Individual provider · Type 1 NPI

Gregory John Pataky, APA-C

Medical Physician Assistant · Fort Drum, NY

NPI number 1821076324 Active

Practice location

11050 Mt Belvedere Blvd, Usa Meddac Attn: Credentials
Fort Drum, NY 13602-5004

Call (315) 772-4025 Map

Fax (315) 772-9498

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1821076324

Gregory John Pataky, APA-C's National Provider Identifier is 1821076324, issued on Jan 4, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Drum, NY. The record was last updated on Jul 13, 2026.