MEDICARE: SHITALBEN PATEL

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	28RI03708100	NJ

General Provider Information

NPI Number	:	1801432786
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHITALBEN PATEL

Provider Business Mailing Address
First Line	:	3875 BROADWAY
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10032-1567
Country	:	US
Telephone Number	:	212-795-4909
Fax Number	:	212-795-2043

Provider Business Practice Location Address
First Line	:	3875 BROADWAY
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10032-1567
Country	:	US
Telephone Number	:	212-795-4909
Fax Number	:	212-795-2043

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

Provider Enumeration Date	:	11/26/2019
Last Update Date	:	12/03/2025

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Directions to “ SHITALBEN PATEL ” Practice Location

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