Healthcare Provider Details

I. General information

NPI: 1720976715
Provider Name (Legal Business Name): ABHISHEK VINODBHAI PATEL PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2025
Last Update Date: 06/26/2025
Certification Date: 06/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

434 OLD POST RD
BEDFORD NY
10506-1018
US

IV. Provider business mailing address

16 MAYBROOK RD
CAMPBELL HALL NY
10916-2743
US

V. Phone/Fax

Practice location:
  • Phone: 914-234-4445
  • Fax:
Mailing address:
  • Phone: 845-636-4344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number053886
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: