Provider Demographics
NPI:1295916906
Name:PATEL, SWATI SAUMIL
Entity type:Individual
Prefix:MRS
First Name:SWATI
Middle Name:SAUMIL
Last Name:PATEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8101 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-2429
Mailing Address - Country:US
Mailing Address - Phone:718-507-1126
Mailing Address - Fax:718-507-8376
Practice Address - Street 1:8101 BROADWAY
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-2429
Practice Address - Country:US
Practice Address - Phone:718-507-1126
Practice Address - Fax:718-507-8376
Is Sole Proprietor?:No
Enumeration Date:2007-11-21
Last Update Date:2007-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY046415-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist