Organization
MANISH PATEL ORTHODONTIST, PC
Active
Organization
MANISH PATEL ORTHODONTIST, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANISH PATEL DDS (PRESIDENT)
(914) 589-3726
Entity
Organization
Contact information
Practice address
33 NY-17M, SUITE E, HARRIMAN, NY 10926
(845) 774-2724
Mailing address
11 HIDDEN GLEN RD, SCARSDALE, NY 10583-1230
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
058538-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04517593
—
NY
Enumeration date
08/28/2017
Last updated
08/28/2017
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