MEDICARE: DR. MINESH PATEL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0804X	Child & Adolescent Psychiatry Physician	260783	NY

General Provider Information

NPI Number	:	1033409073
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MINESH PATEL M.D.

Provider Business Mailing Address
First Line	:	1 ECHO HL
Second Line	:	WETMORE HALL
City	:	DOBBS FERRY
State	:	NY
Zip	:	10522-3600
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 ECHO HL
Second Line	:	WETMORE HALL
City	:	DOBBS FERRY
State	:	NY
Zip	:	10522-3600
Country	:	US
Telephone Number	:	914-693-0600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2011
Last Update Date	:	04/11/2011

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