Individual
SANJIVAN PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
374 STOCKHOLM ST, BROOKLYN, NY 11237-4006
(718) 963-6479
(718) 963-6793
Mailing address
374 STOCKHOLM STREET, BROOKLYN, NY 11237
(718) 963-6485
(718) 963-6793
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
167729
NY
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
167729
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01019947
—
NY
Enumeration date
03/31/2006
Last updated
03/17/2018
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