Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | 143348 | NY |
NPI | 1205815255 |
---|---|
Provider Name | Arun P Patel |
First Address | Olean, NY 14760-2355 |
Second Address | Little Valley, NY 14755-1011 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2006 |
Last Update Date | 18/09/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00811692 | (05) | NY |
B36164 | (02) | NY |