Individual
NISHA A PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
725 EAST ADAMS ST, 5TH FL, SYRACUSE, NY 13210
(315) 464-5726
(315) 464-2510
Mailing address
331 NEWMAN SPRINGS ROAD, BLDG. 2, SUITE 220, RED BANK, NJ 07701
(732) 807-0877
(201) 751-1680
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
310443
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06726663
—
NY
Enumeration date
03/30/2015
Last updated
04/11/2025
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