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Individual

MAYANK PATEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
25602 HILLSIDE AVE, 1ST FLOOR, FLORAL PARK, NY 11004-1618
(718) 343-3535
(718) 343-7272
Mailing address
25602 HILLSIDE AVE, 1ST FLOOR, FLORAL PARK, NY 11004-1618
(718) 343-3535
(718) 343-7272

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
203392
NY
208000000X
Pediatrics Physician
Primary
203392
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01679845
NY
Enumeration date
05/17/2006
Last updated
01/27/2012
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