Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223D0004X | Dentist Anesthesiologist | 001033 | NY |
Y | 1223D0004X | Dentist Anesthesiologist | 054539 | NY |
N | 1223G0001X | General Practice | 054539 | NY |
N | 213EG0000X | General Practice | 054539 | NY |
NPI | 1992968598 |
---|---|
Provider Name | Dr. Dhvanit Patel |
First Address | Floral Park, NY 11004-1246 |
Second Address | Floral Park, NY 11004-1246 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2008 |
Last Update Date | 27/01/2014 |