Provider Demographics
NPI:1124779137
Name:PATEL, HIRAL HARSHAD (DPT)
Entity type:Individual
Prefix:
First Name:HIRAL
Middle Name:HARSHAD
Last Name:PATEL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 GARRISON AVE APT 102
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-5466
Mailing Address - Country:US
Mailing Address - Phone:510-320-9218
Mailing Address - Fax:
Practice Address - Street 1:13630 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3824
Practice Address - Country:US
Practice Address - Phone:347-437-0325
Practice Address - Fax:866-202-3177
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-11
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY0482232081P0010X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No2081P0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPediatric Rehabilitation Medicine