Provider Demographics
NPI:1538994116
Name:BETH PATANE CREATIVE ARTS THERAPIST PLLC
Entity type:Organization
Organization Name:BETH PATANE CREATIVE ARTS THERAPIST PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BETH
Authorized Official - Middle Name:A
Authorized Official - Last Name:PATANE
Authorized Official - Suffix:
Authorized Official - Credentials:LCAT
Authorized Official - Phone:914-262-5373
Mailing Address - Street 1:856 WREN PL
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-1133
Mailing Address - Country:US
Mailing Address - Phone:914-769-2424
Mailing Address - Fax:
Practice Address - Street 1:100 S BEDFORD RD
Practice Address - Street 2:
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-3425
Practice Address - Country:US
Practice Address - Phone:914-262-5373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt TherapistGroup - Single Specialty