Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 009015 | NY |
NPI | 1003478520 |
---|---|
Provider Name | Kalindi Patel |
First Address | Syracuse, UNITED STATES 13204 |
Second Address | Syracuse, NY 13204-9501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/07/2019 |
Last Update Date | 03/10/2019 |