MEDICARE: KHUSHBOO PATEL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	068764	NY

General Provider Information

NPI Number	:	1497407910
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KHUSHBOO PATEL

Provider Business Mailing Address
First Line	:	82 N PLANK RD
Second Line	:
City	:	NEWBURGH
State	:	NY
Zip	:	12550-2120
Country	:	US
Telephone Number	:	845-926-3600
Fax Number	:

Provider Business Practice Location Address
First Line	:	82 N PLANK RD
Second Line	:
City	:	NEWBURGH
State	:	NY
Zip	:	12550-2120
Country	:	US
Telephone Number	:	845-926-3600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2022
Last Update Date	:	01/25/2022

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Directions to “ KHUSHBOO PATEL ” Practice Location

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