Individual provider · Type 1 NPI

Nina Patel, PA

Surgical Physician Assistant · West Islip, NY

NPI number 1366724932 Active

Practice location

1000 Montauk Hwy, Avanced Practice Professionals
West Islip, NY 11795-4927

Fax (631) 376-3798

Mailing address

1000 Montauk Highway, Avanced Practice Professionals
West Islip, NY 11795

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X014906 (NY)
Medical Physician Assistant 363AM0700X014906 (NY)
Surgical Physician Assistant Primary 363AS0400X014906 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1366724932

Nina Patel, PA's National Provider Identifier is 1366724932, issued on Sep 9, 2011. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in West Islip, NY. The record was last updated on Sep 9, 2011.