MEDICARE: SHAILI PATEL

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	183500000X	Pharmacist	063014	NY
2	183500000X	Pharmacist	65951	CA

General Provider Information

NPI Number	:	1215474234
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAILI PATEL

Provider Business Mailing Address
First Line	:	346 BLEECKER ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10014-2980
Country	:	US
Telephone Number	:	212-807-7566
Fax Number	:

Provider Business Practice Location Address
First Line	:	346 BLEECKER ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10014-2980
Country	:	US
Telephone Number	:	212-807-7566
Fax Number	:

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

Provider Enumeration Date	:	01/28/2017
Last Update Date	:	03/01/2022

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Directions to “ SHAILI PATEL ” Practice Location

Language	Start Address	Practice Location

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