Healthcare Provider Details

I. General information

NPI: 1548766736
Provider Name (Legal Business Name): HIREN MUKUND PATEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2018
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 WOODS RD ACP 4TH FLOOR
VALHALLA NY
10595-1530
US

IV. Provider business mailing address

100 WOODS RD ACP 4TH FLOOR
VALHALLA NY
10595-1530
US

V. Phone/Fax

Practice location:
  • Phone: 914-789-2700
  • Fax:
Mailing address:
  • Phone: 914-789-2700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number328969
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: