Individual
DR. MITAL B. PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
20 HICKSVILLE RD, MASSAPEQUA, NY 11758-5819
(516) 590-7744
(844) 335-7404
Mailing address
20 HICKSVILLE RD, SUITE 2, MASSAPEQUA, NY 11758-5819
(201) 681-2654
(855) 959-1613
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N006053
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02669029
—
NY
Enumeration date
07/06/2006
Last updated
10/18/2023
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