Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207T00000X | Neurosurgeon | 294834 | NY |
Y | 2084V0102X | Vascular Neurology | 294834 | NY |
NPI | 1073870945 |
---|---|
Provider Name | Vikas Patel |
First Address | Rockville Centre, NY 11570-6215 |
Second Address | Oceanside, NY 11572-1551 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2012 |
Last Update Date | 18/01/2022 |