Provider Demographics
NPI:1861470643
Name:CLOSE, PATRICIA B (MD)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:B
Last Name:CLOSE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:210 WESTCHESTER AVE
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10604-2901
Mailing Address - Country:US
Mailing Address - Phone:914-681-3146
Mailing Address - Fax:914-682-6403
Practice Address - Street 1:1 THEALL RD
Practice Address - Street 2:
Practice Address - City:RYE
Practice Address - State:NY
Practice Address - Zip Code:10580-1404
Practice Address - Country:US
Practice Address - Phone:914-848-8800
Practice Address - Fax:914-682-6403
Is Sole Proprietor?:No
Enumeration Date:2006-01-03
Last Update Date:2013-10-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY148075-1207V00000X
CT035734207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0D3155OtherHEALTH NET
NY133884168OtherBEECH STREET
NY148075-1OtherWORKERS COMPENSATION
NY133884168OtherMULTIPLAN
NY751E61/751E62OtherBLUE CROSS SELECT
NY758429OtherCONNECTICARE
NY133884168OtherPOMCO
NYWP306OtherOXFORD
NY133884168OtherPHCH
NY0296882OtherGHI PPO
NY1189127OtherUNITED HEALTHCARE
NY1314166OtherCIGNA
NY4309604OtherAETNA NON HMO
NY00983793Medicaid
NY133884168OtherEMPIRE STATE PLAN (NYS)
NY3745942OtherU.S. HEALTHCARE
NYB19379Medicare UPIN
NY79D71/W2L683Medicare ID - Type Unspecified
CT160002244/C03316Medicare ID - Type Unspecified