Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251E1300X | Electrophysiology, Clinical | ||
N | 2251G0304X | Physical Therapist - Geriatrics | ||
Y | 2251X0800X | Physical Therapist - Orthopedic | 037044 | NY |
NPI | 1174920839 |
---|---|
Provider Name | Mr. Denil J Patel |
First Address | Rego Park, NY 11374-3321 |
Second Address | Rego Park, NY 11374-3321 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/11/2014 |
Last Update Date | 24/11/2014 |