Provider Demographics
NPI:1609255942
Name:PATEL, PRIYA B (DO)
Entity Type:Individual
Prefix:
First Name:PRIYA
Middle Name:B
Last Name:PATEL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:1400 PELHAM PKWY S RM 218
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-1119
Mailing Address - Country:US
Mailing Address - Phone:718-918-4921
Mailing Address - Fax:718-918-4914
Practice Address - Street 1:1400 PELHAM PKWY S RM 218
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-1119
Practice Address - Country:US
Practice Address - Phone:718-918-4921
Practice Address - Fax:718-918-4914
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-20
Last Update Date:2020-07-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY298786207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery