Individual
MANISH PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11 HIDDEN GLEN RD, SCARSDALE, NY 10583-1230
(914) 589-3726
Mailing address
11 HIDDEN GLEN RD, SCARSDALE, NY 10583-1230
(914) 589-3726
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
058538-1
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
22DI025605500
NJ
Other
Enumeration date
05/16/2016
Last updated
08/09/2016
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