Provider Demographics
NPI:1497242531
Name:PATEL, PARINI A (DO)
Entity Type:Individual
Prefix:
First Name:PARINI
Middle Name:A
Last Name:PATEL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2201 HEMPSTEAD TPKE
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-1859
Mailing Address - Country:US
Mailing Address - Phone:516-296-4372
Mailing Address - Fax:
Practice Address - Street 1:90 US HIGHWAY 206 STE 10A
Practice Address - Street 2:
Practice Address - City:STANHOPE
Practice Address - State:NJ
Practice Address - Zip Code:07874-3128
Practice Address - Country:US
Practice Address - Phone:908-979-8710
Practice Address - Fax:973-500-4337
Is Sole Proprietor?:No
Enumeration Date:2018-04-14
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MB12114900208VP0000X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine