Provider Demographics
NPI:1518730050
Name:PATEL, HEMANSHI HITESHBHAI
Entity Type:Individual
Prefix:
First Name:HEMANSHI
Middle Name:HITESHBHAI
Last Name:PATEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:282 BALDWIN AVE APT 1L
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-1382
Mailing Address - Country:US
Mailing Address - Phone:346-434-1750
Mailing Address - Fax:
Practice Address - Street 1:1818 NEWKIRK AVE FL 5
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-7359
Practice Address - Country:US
Practice Address - Phone:718-859-2626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-06
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050132-01225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist