Individual
DR. FORUM P PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
329 E 149TH ST FL 2, BRONX, NY 10451-5626
(718) 585-5500
Mailing address
14 TODD ST, HILLSBOROUGH, NJ 08844-7128
(732) 491-1148
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
008637
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05284060
—
NY
01
—
1922538354
NPI
NY
Enumeration date
06/18/2017
Last updated
12/24/2018
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