Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 302484 | NY |
N | 111NI0900X | Internist | 302484 | NY |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 302484 | NY |
NPI | 1083060081 |
---|---|
Provider Name | Amy Patel |
First Address | Mineola, NY 11501-4089 |
Second Address | Mineola, NY 11501-4089 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2016 |
Last Update Date | 20/12/2021 |