MEDICARE: SHILPA 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	043162	NY

General Provider Information

NPI Number	:	1669794939
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHILPA PATEL B.PHARM

Provider Business Mailing Address
First Line	:	30 STOOTHOFF DR
Second Line	:
City	:	NEW HYDE PARK
State	:	NY
Zip	:	11040-3621
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1950 FULTON ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11233-3198
Country	:	US
Telephone Number	:	171-849-3084
Fax Number	:

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

Provider Enumeration Date	:	02/26/2010
Last Update Date	:	02/26/2010

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Directions to “ SHILPA PATEL B.PHARM” Practice Location

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