Provider Demographics
NPI:1083893978
Name:ANIL S PATEL INTERNAL MEDICINE, P.C.
Entity Type:Organization
Organization Name:ANIL S PATEL INTERNAL MEDICINE, P.C.
Other - Org Name:ANIL S PATEL,INTERNALMEDICINE,P.C.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANIL
Authorized Official - Middle Name:S
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-489-6700
Mailing Address - Street 1:84 CROSBY AVE
Mailing Address - Street 2:
Mailing Address - City:ALBERTSON
Mailing Address - State:NY
Mailing Address - Zip Code:11507-1847
Mailing Address - Country:US
Mailing Address - Phone:516-747-1528
Mailing Address - Fax:
Practice Address - Street 1:50 CLINTON ST STE 606A
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-4282
Practice Address - Country:US
Practice Address - Phone:516-489-6700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANIL S PATEL INTERNAL MEDICINE,P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-10-29
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY151060207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty