Healthcare Provider Details

I. General information

NPI: 1205242351
Provider Name (Legal Business Name): SONIA S PATEL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SONIA PATEL MD

II. Dates (important events)

Enumeration Date: 07/09/2014
Last Update Date: 07/29/2024
Certification Date: 07/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 ASHFORD AVE STE 3W
DOBBS FERRY NY
10522-1824
US

IV. Provider business mailing address

18 ASHFORD AVE STE 3W
DOBBS FERRY NY
10522-1824
US

V. Phone/Fax

Practice location:
  • Phone: 914-330-8445
  • Fax: 914-330-8446
Mailing address:
  • Phone: 914-330-8445
  • Fax: 914-330-8446

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number276821
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code282NC2000X
TaxonomyChildren's Hospital
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: