Provider Demographics
NPI:1558163717
Name:PATEL, SALONI
Entity type:Individual
Prefix:
First Name:SALONI
Middle Name:
Last Name:PATEL
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6564 ELLWELL CRES
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-5032
Mailing Address - Country:US
Mailing Address - Phone:347-888-9138
Mailing Address - Fax:347-888-9139
Practice Address - Street 1:6333 ALDERTON ST
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-2824
Practice Address - Country:US
Practice Address - Phone:347-888-9138
Practice Address - Fax:347-888-9139
Is Sole Proprietor?:No
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY053532225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist