Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 043885-1 | NY |
N | 2251E1300X | Electrophysiology, Clinical | 043885-1 | NY |
N | 2251G0304X | Physical Therapist - Geriatrics | 043885-1 | NY |
N | 2251X0800X | Physical Therapist - Orthopedic | 043885-1 | NY |
NPI | 1417588187 |
---|---|
Provider Name | Nehal D Patel |
First Address | New Hyde Park, NY 11040-1706 |
Second Address | Jamaica, NY 11432-1816 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2020 |
Last Update Date | 30/01/2020 |