Provider Demographics
NPI:1720338775
Name:PATEL, MILAP (DDS)
Entity Type:Individual
Prefix:
First Name:MILAP
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 PAMELA RD
Mailing Address - Street 2:
Mailing Address - City:CORTLANDT MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10567-7111
Mailing Address - Country:US
Mailing Address - Phone:914-262-6681
Mailing Address - Fax:
Practice Address - Street 1:2042 ALBANY POST RD
Practice Address - Street 2:SUITE 3
Practice Address - City:CROTON ON HUDSON
Practice Address - State:NY
Practice Address - Zip Code:10520-1168
Practice Address - Country:US
Practice Address - Phone:914-734-9557
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-18
Last Update Date:2012-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY056382-1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist