Provider Demographics
NPI:1356414023
Name:PATEL, MINERVA (DDS)
Entity type:Individual
Prefix:DR
First Name:MINERVA
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 CHURCH ST
Mailing Address - Street 2:SUITE 308
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-1515
Mailing Address - Country:US
Mailing Address - Phone:914-683-9389
Mailing Address - Fax:914-683-9389
Practice Address - Street 1:95 CHURCH ST
Practice Address - Street 2:SUITE 308
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-1515
Practice Address - Country:US
Practice Address - Phone:914-683-9389
Practice Address - Fax:914-683-9389
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2009-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0493231223P0221X
NY0001731223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry