Healthcare Provider Details

I. General information

NPI: 1235524232
Provider Name (Legal Business Name): HIREN BHARAT PATEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2015
Last Update Date: 08/26/2021
Certification Date: 08/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26901 76TH AVE STE 255
NEW HYDE PARK NY
11040-1433
US

IV. Provider business mailing address

26808 83RD AVE APT 2
NEW HYDE PARK NY
11040-1817
US

V. Phone/Fax

Practice location:
  • Phone: 718-470-3460
  • Fax: 718-343-4642
Mailing address:
  • Phone: 908-723-0813
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License Number293209
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: