# FAGUNA C. PATEL, D.O., P.L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740765692
- **Authorized official:** DR. FAGUNA C. PATEL DO (ATTENDING PHYSICIAN DO)
- **Authorized official phone:** (631) 229-9522

## Contact information

- **Practice address:** 105 MAXESS RD STE 124, MELVILLE, NY 11747
- **Practice address phone:** (631) 229-9522
- **Practice address fax:** (800) 895-8150
- **Mailing address:** 105 MAXESS RD STE 124, MELVILLE, NY 11747-3821
- **Mailing address phone:** (631) 229-9522

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 2081H0002X | Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081H0002X | Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 2081N0008X | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081N0008X | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 2081P0004X | Spinal Cord Injury Medicine Physician | — | NULL | — |
| 2081P0004X | Spinal Cord Injury Medicine Physician | — | — | — |
| 2081P0301X | Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081P0301X | Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |

## Other

- **Enumeration date:** 09/26/2018
- **Last updated:** 09/26/2018