Individual
ANIL S PATIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
910 ROUTE 109, LINDENHURST, NY 11757-1158
(631) 546-5081
Mailing address
118 BAGATELLE RD, MELVILLE, NY 11747-4143
(631) 546-5081
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
213176
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
213176
NY
Other
Enumeration date
06/22/2005
Last updated
04/11/2008
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