Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | 234616 | NY |
NPI | 1285703389 |
---|---|
Provider Name | Dr. Twinkle Sanjay Patel |
First Address | North Syracuse, NY 13212-3837 |
Second Address | North Syracuse, NY 13212-2375 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2006 |
Last Update Date | 09/10/2012 |