Individual
SIMA JIVAN PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
154 W 14TH ST, NEW YORK, NY 10011-7307
(212) 686-6321
Mailing address
154 W 14TH ST, FL 4B, NEW YORK, NY 10011-7330
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
286594
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2012
Last updated
09/27/2018
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