Provider Demographics
NPI:1003239765
Name:PATEL, RESHMA H (PA)
Entity Type:Individual
Prefix:
First Name:RESHMA
Middle Name:H
Last Name:PATEL
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Gender:F
Credentials:PA
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Mailing Address - Street 1:281 BROADWAY
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10007-1831
Mailing Address - Country:US
Mailing Address - Phone:646-596-7386
Mailing Address - Fax:646-360-2739
Practice Address - Street 1:281 BROADWAY
Practice Address - Street 2:2ND FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10007-1831
Practice Address - Country:US
Practice Address - Phone:646-596-7386
Practice Address - Fax:646-360-2739
Is Sole Proprietor?:No
Enumeration Date:2014-01-30
Last Update Date:2014-12-11
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Provider Licenses
StateLicense IDTaxonomies
NY017068-1363A00000X
NY017068363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant