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Individual

AMISH PATEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
1773 UNIVERSITY AVE, BRONX, NY 10453
(718) 583-5900
(718) 716-1876
Mailing address
1773 UNIVERSITY AVE, BRONX, NY 10453
(718) 583-5900
(718) 716-1876

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
050507
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050507
NY STATE REGISTRATION
NY
01
28RI03055700
NJ STATE BOARD OF PHARMACY
NJ
Enumeration date
08/05/2008
Last updated
07/29/2024
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