person
Mitul R Patel, MD
General Practice Physician in East Patchogue, New York
NPI 1285615120

Mitul R Patel is a General Practice Physician based in East Patchogue, NY. Mitul R Patel practices in East Patchogue, NY and has the professional credentials of MD. The NPI Number for Mitul R Patel is 1285615120 and holds a License No. 203391 (New York).

The current practice location address for Mitul R Patel is 250 Patchogue Yaphank Rd, East Patchogue, NY and can be reached out via phone at 631-289-0900 and via fax at 631-569-4909.

Location: 250 Patchogue Yaphank Rd, East Patchogue, NY, 11772-4800
person
Provider Profile Details
NPI Number
1285615120
Provider Name
Mitul R Patel
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
250 Patchogue Yaphank Rd, East Patchogue, NY, 11772-4800
Phone Number
631-289-0900
Fax Number
631-569-4909
Provider Enumeration Date
11/08/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
67712 01 NY VYTRA HEALTH ID NO.
004AF3 01 NY EMPIRE BLUE CROSS ID
2046588 01 NY AETNA PROVIDER NUMBER
P452012 01 NY OXFORD HEALTH ID NO.
P00214307 01 NY RR MEDICARE ID NO.
01849976 05 NY
018499760 05 NY
100693 01 NY HIP HEALTH PLAN ID NO.
institution
Provider Business Practice Location Address Details
Address
250 Patchogue Yaphank Rd
City
State
Zip
11772-4800
Phone Number
631-289-0900
Fax Number
631-569-4909
person
Provider Business Mailing Address Details
Address
250 Patchogue Yaphank Rd
City
State
Zip
11772-4800
Phone Number
631-289-0900
Fax Number
631-569-4909
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
203391 (New York)
Definition
Definition to come...
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