Nina Patel, PA
Physician Assistant, Surgical in West Islip, NY. Individual provider (NPI-1).
NPI number1366724932
StatusActive
Last updated in NPPESSep 9, 2011
Details
- NPI
- 1366724932
- Entity type
- Individual (NPI-1)
- Name
- Ms. Nina Patel
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 9, 2011
- Last updated
- Sep 9, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | 014906 | NY | Yes |
| 363A00000X | Physician Assistant | 014906 | NY | |
| 363AM0700X | Physician Assistant, Medical | 014906 | NY |
Practice location
1000 Montauk HwyAvanced Practice Professionals
West Islip, NY 11795-4927
Phone 631-376-3251 · Fax 631-376-3798
Mailing address
1000 Montauk HighwayAvanced Practice Professionals
West Islip, NY 11795
Phone 631-376-3251 · Fax 631-376-3798
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