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SAMIR JITENDRABHAI PATEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
13618 39TH AVE STE 704, FLUSHING, NY 11354-5583
(917) 602-5414
Mailing address
4249 COLDEN ST APT 5M, FLUSHING, NY 11355-3908
(917) 602-5414

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
055831
NY
225100000X
Physical Therapist
Primary
P141804
NY
225200000X
Physical Therapy Assistant
Primary
015171
NY

Other

Enumeration date
04/13/2026
Last updated
05/15/2026
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