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NPI Code Detail

MEDICARE: KINJAL PATEL PHARM D

MEDICARE: KINJAL PATEL PHARM 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
1183500000XPharmacist058632NY

General Provider Information

NPI Number : 1063837789
Entity Type Code : Individual
Provider Name (Legal Business Name) : KINJAL PATEL PHARM D
Provider Business Mailing Address
First Line : 1366 BROADWAY
Second Line :
City : BROOKLYN
State : NY
Zip : 11221-3615
Country : US
Telephone Number : 718-452-6391
Fax Number :
Provider Business Practice Location Address
First Line : 1366 BROADWAY
Second Line :
City : BROOKLYN
State : NY
Zip : 11221-3615
Country : US
Telephone Number : 718-452-6391
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2014
Last Update Date : 12/08/2015

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Directions to “ KINJAL PATEL PHARM D” Practice Location

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