MEDICARE: HITESH R PATEL RPH

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	053483	NY

General Provider Information

NPI Number	:	1518148717
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HITESH R PATEL RPH

Provider Business Mailing Address
First Line	:	320 W 38TH ST
Second Line	:	APT 2401
City	:	NEW YORK
State	:	NY
Zip	:	10018-3204
Country	:	US
Telephone Number	:	646-830-8220
Fax Number	:	212-961-9501

Provider Business Practice Location Address
First Line	:	2578 BROADWAY
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10025-5642
Country	:	US
Telephone Number	:	212-961-9500
Fax Number	:

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

Provider Enumeration Date	:	11/16/2007
Last Update Date	:	06/23/2016

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