Individual
PINA R PATEL- PULIPATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
475 E MAIN ST, SUITE 207, PATCHOGUE, NY 11772-3121
(631) 654-2386
(631) 447-3852
Mailing address
475 E MAIN ST, SUITE 207, PATCHOGUE, NY 11772-3121
(631) 654-2386
(631) 447-3852
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
266254
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/13/2008
Last updated
11/14/2016
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