Individual
MONIKA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
256-C MASON AVENUE, 3RD FLOOR, STATEN ISLAND, NY 10305
(718) 226-1251
Mailing address
256C MASON AVENUE, 3RD FLOOR, STATEN ISLAND, NY 10305
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
062436
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DS044435
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2017
Last updated
06/11/2024
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