MEDICARE: JIGAR V 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	225100000X	Physical Therapist	P68956	NY

General Provider Information

NPI Number	:	1962643833
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JIGAR V PATEL

Provider Business Mailing Address
First Line	:	1187 INMAN AVE
Second Line	:
City	:	EDISON
State	:	NJ
Zip	:	08820-1113
Country	:	US
Telephone Number	:	724-208-3578
Fax Number	:

Provider Business Practice Location Address
First Line	:	506 LENOX AVE
Second Line	:	MLK BULDING,ROOM #3137
City	:	NEW YORK
State	:	NY
Zip	:	10037-1802
Country	:	US
Telephone Number	:	212-939-4442
Fax Number	:	212-939-4446

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

Provider Enumeration Date	:	03/23/2009
Last Update Date	:	03/23/2009

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Directions to “ JIGAR V PATEL ” Practice Location

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