Healthcare Provider Details

I. General information

NPI: 1013309640
Provider Name (Legal Business Name): NEW YORK CAMBRIDGE MEDICAL ASSOCIATES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2015
Last Update Date: 02/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8611 LEFFERTS BLVD # 3 B & C
RICHMOND HILL NY
11418-2536
US

IV. Provider business mailing address

8611 LEFFERTS BLVD # 3 B & C
RICHMOND HILL NY
11418-2536
US

V. Phone/Fax

Practice location:
  • Phone: 347-392-4991
  • Fax: 347-392-4987
Mailing address:
  • Phone: 347-392-4991
  • Fax: 347-392-4987

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number117748
License Number StateNY

VIII. Authorized Official

Name: DR. BHUPENDRA PATEL
Title or Position: MEMBER
Credential: M.D
Phone: 347-392-4991