Provider Demographics
NPI:1225160237
Name:PATEL, FALGUNI (DDS)
Entity Type:Individual
Prefix:DR
First Name:FALGUNI
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 RECTOR PL
Mailing Address - Street 2:APT # 27 D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10280-1107
Mailing Address - Country:US
Mailing Address - Phone:917-860-3209
Mailing Address - Fax:
Practice Address - Street 1:153 DYCKMAN ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10040-1003
Practice Address - Country:US
Practice Address - Phone:212-569-5300
Practice Address - Fax:212-544-0435
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050260122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY16356OtherDORAL
NY02325868Medicaid