Individual
MR. AMBALAL K PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
350 E MAIN ST STE 8, PATCHOGUE, NY 11772-3100
(631) 475-6666
(631) 768-9049
Mailing address
26 SAMPSON ST, SAYVILLE, NY 11782-1313
(631) 567-3070
(631) 968-9049
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
031894
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
031894
NYSTATE RPH LIC.NO
NY
Enumeration date
02/12/2007
Last updated
07/08/2007
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