Individual
ANJALI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
410 LAKEVILLE RD, NEW HYDE PARK, NY 11042-1101
(516) 622-5195
Mailing address
7819 268TH ST, FLORAL PARK, NY 11004-1330
(516) 395-8244
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
774754-01
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F405565-01
NY
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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