Individual
HENNA M PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7060 ERIE RD SUITE 100, DERBY, NY 14047
(716) 947-0408
(716) 947-0413
Mailing address
7060 ERIE RD SUITE 100, DERBY, NY 14047
(716) 947-0408
(716) 947-0413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
250826
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03154056
—
NY
Enumeration date
09/23/2009
Last updated
10/09/2019
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