Basic Information
| Provider Information | |||||||||
| NPI: | 1861470643 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CLOSE | ||||||||
| FirstName: | PATRICIA | ||||||||
| MiddleName: | B | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 210 WESTCHESTER AVE | ||||||||
| Address2: | 3RD FLOOR | ||||||||
| City: | WHITE PLAINS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 106042901 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9146813146 | ||||||||
| FaxNumber: | 9146826403 | ||||||||
| Practice Location | |||||||||
| Address1: | 1 THEALL RD | ||||||||
| Address2: | |||||||||
| City: | RYE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 105801404 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9148488800 | ||||||||
| FaxNumber: | 9146826403 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/03/2006 | ||||||||
| LastUpdateDate: | 10/16/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 148075-1 | NY | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 207V00000X | 035734 | CT | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
ID Information
| ID | Type | State | Issuer | Description | 0D3155 | 01 | NY | HEALTH NET | OTHER | 133884168 | 01 | NY | BEECH STREET | OTHER | 148075-1 | 01 | NY | WORKERS COMPENSATION | OTHER | 133884168 | 01 | NY | MULTIPLAN | OTHER | 751E61/751E62 | 01 | NY | BLUE CROSS SELECT | OTHER | 758429 | 01 | NY | CONNECTICARE | OTHER | 133884168 | 01 | NY | POMCO | OTHER | WP306 | 01 | NY | OXFORD | OTHER | 133884168 | 01 | NY | PHCH | OTHER | 0296882 | 01 | NY | GHI PPO | OTHER | 1189127 | 01 | NY | UNITED HEALTHCARE | OTHER | 1314166 | 01 | NY | CIGNA | OTHER | 4309604 | 01 | NY | AETNA NON HMO | OTHER | 00983793 | 05 | NY | MEDICAID | 133884168 | 01 | NY | EMPIRE STATE PLAN (NYS) | OTHER | 3745942 | 01 | NY | U.S. HEALTHCARE | OTHER |