MEDICARE: MR. ARVINDKUMAR B PATEL B.PHARM

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	030283	NY

General Provider Information

NPI Number	:	1477717908
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ARVINDKUMAR B PATEL B.PHARM

Provider Business Mailing Address
First Line	:	1418 WYTHE PL
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10452-6904
Country	:	US
Telephone Number	:	718-590-4242
Fax Number	:

Provider Business Practice Location Address
First Line	:	1418 WYTHE PL
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10452-6904
Country	:	US
Telephone Number	:	718-590-4242
Fax Number	:

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

Provider Enumeration Date	:	07/14/2008
Last Update Date	:	07/14/2008

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