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NPI Code Detail

MEDICARE: VIREN PATEL PT

MEDICARE:   VIREN  PATEL  PT
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
1225100000XPhysical Therapist026667NY

General Provider Information

NPI Number : 1821297003
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIREN PATEL PT
Provider Business Mailing Address
First Line : 145 DREISER LOOP
Second Line :
City : BRONX
State : NY
Zip : 10475-2704
Country : US
Telephone Number : 347-843-0900
Fax Number :
Provider Business Practice Location Address
First Line : 145 DREISER LOOP
Second Line :
City : BRONX
State : NY
Zip : 10475-2704
Country : US
Telephone Number : 347-843-0900
Fax Number : 347-843-0901
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2007
Last Update Date : 05/10/2012

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Directions to “ VIREN PATEL PT” Practice Location

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