Provider Demographics
NPI:1760628556
Name:PATEL, PALVI (DPT,MA, BS)
Entity Type:Individual
Prefix:DR
First Name:PALVI
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:DPT,MA, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 ST JAMES ST
Mailing Address - Street 2:
Mailing Address - City:MONROE TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08831-8681
Mailing Address - Country:US
Mailing Address - Phone:347-885-8813
Mailing Address - Fax:
Practice Address - Street 1:200 JEFFERSON BLVD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10312-3329
Practice Address - Country:US
Practice Address - Phone:929-284-3318
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-28
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026329-1172V00000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No172V00000XOther Service ProvidersCommunity Health Worker