Patel, Kundan A
Patel, Kundan A is an sole proprietor health care provider with primary practice located at 139 Ronkonkoma Ave , Lake Ronkonkoma NY 11779-3339. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Patel, Kundan A can be contacted via phone (631) 981-4477.Contact Information
Primary practice address
139 Ronkonkoma Ave
Lake Ronkonkoma NY 11779-3339
Phone: (631) 981-4477
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 044309 | New York |
Profile Details
| NPI number | 1144402272 |
|---|---|
| LBN Legal business name | Patel, Kundan A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2007 |
| Last updated | Nov 30th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144402272 | NPPES |
| New York | MEDICAID | 00658562 |
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