Individual
ANJU M PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305
(718) 226-8895
Mailing address
92 LVINGSTON AVE, STATEN ISLAND, NY 10314
(917) 566-5029
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
010746
NY
363A00000X
Physician Assistant
25MP00233900
NJ
Other
Enumeration date
05/07/2007
Last updated
02/10/2021
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