Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0201X | Pediatric Allergist | ME124286 | FL |
NPI | 1164711453 |
---|---|
Provider Name | Bhumika Patel |
First Address | Stony Brook, NY 11794-8160 |
Second Address | Stony Brook, NY 11794 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2011 |
Last Update Date | 18/07/2018 |