Individual
SUJATA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDN, CCN
Contact information
Practice address
35 RIVER RD, CENTER FOR INTEGRATIVE MEDICIN, COS COB, CT 06807-2759
(203) 863-3615
(203) 863-4538
Mailing address
250 MERCER STREET, SUIT B 308, NEW YORK, NY 10012
(203) 863-3617
(203) 863-4538
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000852
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000852
DEPARTMENT OF PUBLIC HEALTH
CT
Enumeration date
08/18/2009
Last updated
05/06/2010
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