Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0120X | Pediatric Surgery | P14369 | NY |
NPI | 1467919779 |
---|---|
Provider Name | Dr. Ramniklal Vallabhdas Patel |
First Address | New York, NY 10021-2516 |
Second Address | New York, Ny 10065, NY 10065-1275 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2019 |
Last Update Date | 11/06/2019 |