Individual
MUDRA KUNTAL PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
244 W 54TH ST, #404, NY, NY 10019
(212) 496-1187
Mailing address
244 W 54TH ST, #404, NY, NY 10019
(212) 496-1187
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
046891-01
NY
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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