Individual
DIVYESH PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
406 COURT ST, BROOKLYN, NY 11231-4206
(646) 275-0358
Mailing address
406 COURT ST, BROOKLYN, NY 11231-4206
(646) 275-0358
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
022421
NY
2251P0200X
Pediatric Physical Therapist
Primary
022421
NY
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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