Healthcare Provider Details

I. General information

NPI: 1639587504
Provider Name (Legal Business Name): NEW YORK HAND SURGERY P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2014
Last Update Date: 01/08/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 9TH ST APT 1
BROOKLYN NY
11215-4026
US

IV. Provider business mailing address

330 9TH ST 1ST FLOOR
BROOKLYN NY
11215-4026
US

V. Phone/Fax

Practice location:
  • Phone: 718-369-4263
  • Fax: 718-369-4265
Mailing address:
  • Phone: 718-369-4263
  • Fax: 718-369-4265

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number231275
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number231275
License Number StateNY

VIII. Authorized Official

Name: DR. VIPUL P PATEL
Title or Position: OWNER
Credential: M.D.
Phone: 917-697-0363