Provider Demographics
NPI:1477986347
Name:PATEL, MRUNALI (RN)
Entity Type:Individual
Prefix:
First Name:MRUNALI
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
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Mailing Address - Street 1:1148 WILLIAM PENN DR
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-4375
Mailing Address - Country:US
Mailing Address - Phone:845-270-8591
Mailing Address - Fax:
Practice Address - Street 1:1254 CENTRAL PARK AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10704-1059
Practice Address - Country:US
Practice Address - Phone:914-969-8200
Practice Address - Fax:914-969-8212
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-15
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY635524163W00000X
NY341271363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse