Individual provider · Type 1 NPI

Shailesh Suresh Pathare, MD

Specialist · Staten Island, NY

NPI number 1487738829 Active

Practice location

565 Jewett Ave
Staten Island, NY 10302-2654

Call (718) 701-6010 Map

Fax (718) 447-7831

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X205677-1 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1487738829

Shailesh Suresh Pathare, MD's National Provider Identifier is 1487738829, issued on Oct 24, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Staten Island, NY. The record was last updated on May 10, 2021.