Individual
JESSICA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-6059
Mailing address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-6059
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
320812
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/08/2020
Last updated
02/17/2023
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