| Doctor Name: | PHILIP S K PATY |
| NPI Number: | 1033190541 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 176073 |
| Business Practice Address: | 123 Quaker Rd Suite 106 Queensbury, NY - 128041714 |
| Business Phone Number: | 5187823900 |
| Business Fax Number: | 5186406753 |
| Mailing Address: | 711 Troy Schenectady Rd, Suite 203 LATHAM |
| State: | NY |
| Postal Code: | 121102442 |
| Phone Number: | 5187823700 |
| Fax Number: | 5187823799 |
| NPI Enumeration Date: | 11/10/2005 |
| NPI Last Update Date: | 09/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0129X |
| License Number: | 176073 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Vascular Surgery |
| Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |