Healthcare Provider Details

I. General information

NPI: 1700414109
Provider Name (Legal Business Name): NEEL PATEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2020
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 RICHMOND AVENUE
STATEN ISLAND NY
10314
US

IV. Provider business mailing address

700 HICKSVILLE RD STE 205
BETHPAGE NY
11714-3472
US

V. Phone/Fax

Practice location:
  • Phone: 631-751-3000
  • Fax: 322-210-7762
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number324392
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: