Healthcare Provider Details

I. General information

NPI: 1811791767
Provider Name (Legal Business Name): SAPAN PATEL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2025
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

967 N BROADWAY
YONKERS NY
10701-1301
US

IV. Provider business mailing address

168 HOPKINS AVE
JERSEY CITY NJ
07306-2515
US

V. Phone/Fax

Practice location:
  • Phone: 914-798-8971
  • Fax:
Mailing address:
  • Phone: 551-666-3083
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: