Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 171554 | NY |
NPI | 1023063617 |
---|---|
Provider Name | Maharukh R Patell |
First Address | Garden City, NY 11530-2133 |
Second Address | North Babylon, NY 11703-2823 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01374712 | (05) | NY |
E87290 | (02) | NY |