Individual
JITEN PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 NICOLLS RD HSC L-4 RM 050, STONY BROOK, NY 11794
(631) 444-3880
Mailing address
101 NICOLLS RD HSC L-4 RM 050, STONY BROOK, NY 11794
(631) 444-3880
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD488932
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
05/10/2021
Last updated
06/25/2025
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