Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0201X | Pediatric Allergist | 185565 | NY |
NPI | 1225070303 |
---|---|
Provider Name | Dr. Kalpana Patel |
First Address | Bayport, NY 11705-2133 |
Second Address | Bayport, NY 11705-2133 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2006 |
Last Update Date | 01/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01245638 | (05) | NY |
555X51 | EMPIRE BC.BS (01) | NY |
5739058 | AETNA (01) | NY |
E94994 | (02) | NY |