Provider Demographics
NPI:1043416886
Name:PATEL, DIPTI RAMESH (DC)
Entity Type:Individual
Prefix:DR
First Name:DIPTI
Middle Name:RAMESH
Last Name:PATEL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:66 COMMACK RD
Mailing Address - Street 2:SUITE #101
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725-3405
Mailing Address - Country:US
Mailing Address - Phone:631-462-0801
Mailing Address - Fax:631-462-0394
Practice Address - Street 1:66 COMMACK RD
Practice Address - Street 2:SUITE #101
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725-3405
Practice Address - Country:US
Practice Address - Phone:631-462-0801
Practice Address - Fax:631-462-0394
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYX010885111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor