Provider Demographics
NPI:1851496707
Name:PATEL-SMITH, MANISHA B (DC)
Entity Type:Individual
Prefix:DR
First Name:MANISHA
Middle Name:B
Last Name:PATEL-SMITH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 MAMARONECK AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-5310
Mailing Address - Country:US
Mailing Address - Phone:914-686-0010
Mailing Address - Fax:914-686-0206
Practice Address - Street 1:200 MAMARONECK AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-5310
Practice Address - Country:US
Practice Address - Phone:914-686-0010
Practice Address - Fax:914-686-0206
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010067111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX010067Medicare ID - Type Unspecified