Individual
MS. NINA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1000 MONTAUK HWY, AVANCED PRACTICE PROFESSIONALS, WEST ISLIP, NY 11795-4927
(631) 376-3251
(631) 376-3798
Mailing address
1000 MONTAUK HIGHWAY, AVANCED PRACTICE PROFESSIONALS, WEST ISLIP, NY 11795
(631) 376-3251
(631) 376-3798
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
014906
NY
363AM0700X
Medical Physician Assistant
014906
NY
363AS0400X
Surgical Physician Assistant
Primary
014906
NY
Other
Enumeration date
09/09/2011
Last updated
09/09/2011
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