Healthcare Provider Details

I. General information

NPI: 1568384378
Provider Name (Legal Business Name): BIG SIX HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6110 QUEENS BLVD
WOODSIDE NY
11377-5776
US

IV. Provider business mailing address

6110 QUEENS BLVD
WOODSIDE NY
11377-5776
US

V. Phone/Fax

Practice location:
  • Phone: 718-606-0422
  • Fax:
Mailing address:
  • Phone: 718-606-0422
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: PRATIK PATEL
Title or Position: PRESIDENT
Credential:
Phone: 404-493-6878