Individual
MRS. SUREKHA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ANP-C
Contact information
Practice address
1630 DEER PARK AVE, DEER PARK, NY 11729-5210
(631) 242-6166
(631) 241-0728
Mailing address
6 JAGGER CT, MELVILLE, NY 11747-3235
(631) 258-9587
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F304131-1
NY
Other
Enumeration date
08/27/2009
Last updated
08/19/2014
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