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General NPI Number Information
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NPI Number | 1306341722
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Entity Type | Individual
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Provider Name | KISHAN GOETZ-PATEL DO
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Gender | Male
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Dates
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Enumeration Date | 03/27/2018
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 27005 76TH AVE
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City | NEW HYDE PARK
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State | NY
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Zip | 11040-1496
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Country | US
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Telephone | 718-470-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 387 HUGUENOT ST APT 6A
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City | NEW ROCHELLE
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State | NY
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Zip | 10801-7038
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Country | US
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Telephone | 240-463-2117
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 310603
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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