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NPI Code Detail

MEDICARE: REENAL PATEL MD PC

MEDICARE: REENAL PATEL MD PC
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
1207K00000XAllergy & Immunology Physician

General Provider Information

NPI Number : 1225669559
Entity Type Code : Organization
Provider Name (Legal Business Name) : REENAL PATEL MD PC
Provider Business Mailing Address
First Line : 10-17 JACKSON AVENUE
Second Line :
City : LONG ISLAND CITY
State : NY
Zip : 11101-5986
Country : US
Telephone Number : 718-971-9095
Fax Number : 718-971-9095
Provider Business Practice Location Address
First Line : 10-17 JACKSON AVENUE
Second Line :
City : LONG ISLAND CITY
State : NY
Zip : 11101-5986
Country : US
Telephone Number : 718-971-9095
Fax Number : 718-971-9095
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : REENAL R. PATEL
Credential : MD
Telephone Number : 718-971-9095
Provider Enumeration Date : 01/27/2020
Last Update Date : 01/27/2020

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Directions to “REENAL PATEL MD PC ” Practice Location

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