| Doctor Name: | DENISE PATRIACO |
| NPI Number: | 1629359690 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | 26NN10702800 |
| Business Practice Address: | 777 Terrace Ave Hasbrouck Heights, NJ - 076043110 |
| Business Phone Number: | 2012882391 |
| Business Fax Number: | |
| Mailing Address: | 85 Moehring Dr, BLAUVELT |
| State: | NY |
| Postal Code: | 109132020 |
| Phone Number: | 8453659102 |
| Fax Number: | |
| NPI Enumeration Date: | 09/06/2011 |
| NPI Last Update Date: | 09/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 26NN10702800 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |