Provider Demographics
NPI:1033696166
Name:PATEL, SNEHA BIPIN
Entity Type:Individual
Prefix:MISS
First Name:SNEHA
Middle Name:BIPIN
Last Name:PATEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7950 NE BAYSHORE CT # W1804
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33138-6398
Mailing Address - Country:US
Mailing Address - Phone:347-907-9638
Mailing Address - Fax:
Practice Address - Street 1:4902 QUEENS BLVD STE 2
Practice Address - Street 2:
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377-4445
Practice Address - Country:US
Practice Address - Phone:929-296-6790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-21
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
NY076822101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health