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Organization
NORTH SHORE LIJ
Active
Organization
NORTH SHORE LIJ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENNA PATEL D.O. (FELLOW)
(718) 470-3430
Entity
Organization
Contact information
Practice address
26901 76TH AVE, ROOM 234, NEW HYDE PARK, NY 11040-1433
(718) 470-3430
(718) 962-2908
Mailing address
26901 76TH AVE, ROOM 234, NEW HYDE PARK, NY 11040-1433
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
246756
NY
Other
Enumeration date
02/17/2011
Last updated
02/17/2011
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