Patel, Mayur

Patel, Mayur is an individual health care provider with primary practice located at 1987 State Route 52 , Liberty NY 12754-8316. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Patel, Mayur can be contacted via phone (845) 292-8200.

Contact Information

Primary practice address
1987 State Route 52 Liberty NY 12754-8316
Fax: (845) 292-9083
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 46404 New York

Profile Details

NPI number 1275718546
LBN Legal business name Patel, Mayur
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2008
Last updated Sep 29th, 2016 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275718546 NPPES
New York MEDICAID 01588903

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