Individual
DR. SANDIPKUMAR PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4000 JERICHO TPKE, EAST NORTHPORT, NY 11731-6285
(770) 822-3600
Mailing address
8 W WARREN ST, ISELIN, NJ 08830-1136
(617) 413-4121
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
008989
NY
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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