MEDICARE: DR. SEEMA G PATEL O.D.

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	152W00000X	Optometrist	007225	NY

General Provider Information

NPI Number	:	1679752919
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SEEMA G PATEL O.D.

Provider Business Mailing Address
First Line	:	22 E CAVALRY DR
Second Line	:
City	:	NEW CITY
State	:	NY
Zip	:	10956-5251
Country	:	US
Telephone Number	:	845-893-3264
Fax Number	:

Provider Business Practice Location Address
First Line	:	2781 PALISADES CENTER DR
Second Line	:
City	:	WEST NYACK
State	:	NY
Zip	:	10994-6407
Country	:	US
Telephone Number	:	845-358-7186
Fax Number	:

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

Provider Enumeration Date	:	11/02/2007
Last Update Date	:	11/02/2007

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