Individual
NISHITH J PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1200 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-6202
(484) 862-3232
Mailing address
571 SAINT JOSEPHS BLVD, FL 2, ELMIRA, NY 14901-3230
(607) 271-2050
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS015116
PA
207Q00000X
Family Medicine Physician
296217
NY
207QS0010X
Sports Medicine (Family Medicine) Physician
OS015116
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05280415
—
NY
Enumeration date
04/22/2010
Last updated
12/06/2024
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