Provider Demographics
NPI:1922271766
Name:PATEL, PRITI N (PHARMD, BCPS)
Entity Type:Individual
Prefix:DR
First Name:PRITI
Middle Name:N
Last Name:PATEL
Suffix:
Gender:F
Credentials:PHARMD, BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8000 UTOPIA PARKWAY
Mailing Address - Street 2:ST. ALBERT HALL ROOM 114
Mailing Address - City:QUEENS
Mailing Address - State:NY
Mailing Address - Zip Code:11439
Mailing Address - Country:US
Mailing Address - Phone:718-990-2150
Mailing Address - Fax:718-990-2151
Practice Address - Street 1:8000 UTOPIA PARKWAY
Practice Address - Street 2:ST. ALBERT HALL ROOM 114
Practice Address - City:QUEENS
Practice Address - State:NY
Practice Address - Zip Code:11439
Practice Address - Country:US
Practice Address - Phone:718-990-2150
Practice Address - Fax:718-990-2151
Is Sole Proprietor?:No
Enumeration Date:2008-04-11
Last Update Date:2008-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY052407183500000X
PARP439031183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist