MEDICARE: DR. REENAL RAJIT 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	208000000X	Pediatrics Physician	262533	NY
2	207K00000X	Allergy & Immunology Physician	262533	NY

General Provider Information

NPI Number	:	1427218775
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. REENAL RAJIT PATEL M.D.

Provider Business Mailing Address
First Line	:	1017 JACKSON AVE
Second Line	:
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11101-5986
Country	:	US
Telephone Number	:	718-971-9095
Fax Number	:	718-584-5869

Provider Business Practice Location Address
First Line	:	1017 JACKSON AVE
Second Line	:
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11101-5986
Country	:	US
Telephone Number	:	718-971-9095
Fax Number	:	718-584-5869

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

Provider Enumeration Date	:	06/10/2008
Last Update Date	:	02/02/2022

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