Provider Demographics
NPI:1376875104
Name:PATEL, HEMANT N (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:HEMANT
Middle Name:N
Last Name:PATEL
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8625 DONGAN AVE
Mailing Address - Street 2:3C
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-3851
Mailing Address - Country:US
Mailing Address - Phone:917-273-9958
Mailing Address - Fax:
Practice Address - Street 1:866 3RD AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-6221
Practice Address - Country:US
Practice Address - Phone:212-759-9412
Practice Address - Fax:212-751-4986
Is Sole Proprietor?:No
Enumeration Date:2010-02-04
Last Update Date:2010-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY049949183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist