Provider Demographics
NPI:1962833681
Name:PATEL, PRITI J (PA)
Entity Type:Individual
Prefix:
First Name:PRITI
Middle Name:J
Last Name:PATEL
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Gender:F
Credentials:PA
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Mailing Address - Street 1:10840 QUEENS BLVD
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-5361
Mailing Address - Country:US
Mailing Address - Phone:718-268-3161
Mailing Address - Fax:718-268-2311
Practice Address - Street 1:501 GORDON DR
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-1252
Practice Address - Country:US
Practice Address - Phone:122-833-0002
Practice Address - Fax:646-665-3604
Is Sole Proprietor?:No
Enumeration Date:2013-12-05
Last Update Date:2020-03-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY017021363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical