Individual
JAIME PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3020 WESTCHESTER AVE STE 200, PURCHASE, NY 10577-2531
(914) 996-7786
Mailing address
3020 WESTCHESTER AVE STE 200, PURCHASE, NY 10577-2531
(914) 996-7786
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401416892
VA
1223G0001X
General Practice Dentistry
Primary
061703
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2019
Last updated
03/24/2022
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