Individual
OMISHA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-3377
Mailing address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
30-307656
NY
Other
Enumeration date
03/06/2016
Last updated
04/19/2016
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