Individual
LOPA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 E 77TH ST, NEW YORK, NY 10075-1850
(212) 434-2000
Mailing address
33 WASHINGTON ST, WEST ORANGE, NJ 07052-5509
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
026192
NY
Other
Enumeration date
12/10/2019
Last updated
09/02/2021
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