Provider Demographics
NPI:1902981947
Name:PATEL, SONAL B (MD)
Entity Type:Individual
Prefix:DR
First Name:SONAL
Middle Name:B
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:205 E MAIN ST
Mailing Address - Street 2:SUITE 2-7A
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-2923
Mailing Address - Country:US
Mailing Address - Phone:631-427-1122
Mailing Address - Fax:631-549-6839
Practice Address - Street 1:205 E MAIN ST
Practice Address - Street 2:SUITE 2-7A
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-2923
Practice Address - Country:US
Practice Address - Phone:631-427-1122
Practice Address - Fax:631-549-6839
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2009-06-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY226049207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02321286Medicaid
NY575681Medicare ID - Type Unspecified
NY02321286Medicaid