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Individual

ASHA KUMAR PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
7559 263RD ST, GLEN OAKS, NY 11004
(718) 470-8390
Mailing address
365 BRITTON AVE, STATEN ISLAND, NY 10304-3369
(347) 534-7871

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
68 019745
NY

Other

Enumeration date
09/27/2012
Last updated
07/16/2018
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