MEDICARE: DRASHTI 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	225100000X	Physical Therapist	052653	NY

General Provider Information

NPI Number	:	1598573586
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DRASHTI PATEL

Provider Business Mailing Address
First Line	:	102 NELSON AVE APT 1
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07307-4597
Country	:	US
Telephone Number	:	707-972-2427
Fax Number	:

Provider Business Practice Location Address
First Line	:	5506 AVENUE N
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-4006
Country	:	US
Telephone Number	:	929-888-9681
Fax Number	:

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

Provider Enumeration Date	:	12/21/2024
Last Update Date	:	01/25/2025

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Directions to “ DRASHTI PATEL ” Practice Location

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