Shailesh S Pathare, MD
Specialist in Staten Island, New York
1487738829- Practice location
- 565 Jewett Ave, Staten Island, NY 10302-2654
- Phone
- 718-701-6010
- Fax
- 718-447-7831
- Last updated
- May 10, 2021
Shailesh Suresh Pathare is a Specialist based in Staten Island, NY. Shailesh Suresh Pathare practices in Staten Island, NY and has the professional credentials of MD. The NPI Number for Shailesh Suresh Pathare is 1487738829 and holds a License No. 205677-1 (NY). The current practice location address for Shailesh Suresh Pathare is 565 Jewett Ave, Staten Island, NY 10302-2654 and can be reached out via phone at 718-701-6010 and via fax at 718-447-7831.
Provider Profile Details
- NPI Number
- 1487738829
- Provider Name
- Shailesh Suresh Pathare
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 565 Jewett Ave, Staten Island, NY 10302-2654
- Phone Number
- 718-701-6010
- Fax Number
- 718-447-7831
- Primary Taxonomy
- Specialist · 174400000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 24, 2006
- Last Update Date
- May 10, 2021
- Certification Date
- March 10, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 565 Jewett Ave
Staten Island, NY 10302-2654 - City
- Staten Island
- State
- New York
- Zip
- 10302-2654
- Phone Number
- 718-701-6010
- Fax Number
- 718-447-7831
Provider Business Mailing Address Details
- Address
- 565 Jewett Ave
Staten Island, NY 10302-2654 - City
- Staten Island
- State
- NY
- Zip
- 10302-2654
- Phone Number
- 718-701-6010
- Fax Number
- 718-447-7831
License Information
- License Number
- 205677-1
- License State
- NY
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Specialists near Staten Island, NY
View all Specialists in Staten Island →Frequently Asked Questions
What is the NPI number of Shailesh S Pathare, MD?
The NPI number of Shailesh S Pathare, MD is 1487738829. It was assigned on October 24, 2006 and is currently active in the NPPES registry.
What is the specialty of Shailesh S Pathare, MD?
Shailesh S Pathare, MD is registered under the primary taxonomy Specialist (code 174400000X), licensed in NY under license number 205677-1.
Where does Shailesh S Pathare, MD practice?
The practice location is 565 Jewett Ave, Staten Island, NY 10302-2654. The office can be reached at 718-701-6010 (phone) or 718-447-7831 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487738829 directly on the NPPES registry website.