NPI 1376078717

Patric Timothy Knecht, MD

Practitioner Family Medicine Physician East Patchogue, NY

Practice location

Address: 285 Sills Rd Bldg 12, East Patchogue, NY 11772-4869
Phone: (631) 638-1750
Fax: (631) 678-1761
Mailing address: PO Box 1559, Stony Brook, NY 11790-0989

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 301929 (NY)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1376078717
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Apr 2017
Record last updated: 30 Jun 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.