Individual
DR. SAMIR CHAMPAK PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
611 GIDNEY AVE, NEWBURGH, NY 12550-2823
(917) 796-3016
(845) 561-6168
Mailing address
1500 ROUTE 112, BLDG 4, PORT JEFFERSON STATION, NY 11776-8055
(631) 751-3000
(631) 509-6559
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
252973-1
NY
207RH0003X
Hematology & Oncology Physician
Primary
252973-1
NY
Other
Enumeration date
06/01/2009
Last updated
01/22/2020
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