| NPI | 1861966244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEEPAK RAMESHCHANDRA PATEL Owner 212-734-6621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2025-02-18 |