Provider Demographics
NPI:1154408847
Name:PATEL, ASHOK ISHAWARBHAI (RPH)
Entity type:Individual
Prefix:MR
First Name:ASHOK
Middle Name:ISHAWARBHAI
Last Name:PATEL
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 CORNELL AVE
Mailing Address - Street 2:
Mailing Address - City:MONROE TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08831-8575
Mailing Address - Country:US
Mailing Address - Phone:212-228-2260
Mailing Address - Fax:
Practice Address - Street 1:277 1ST AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-2994
Practice Address - Country:US
Practice Address - Phone:212-228-2260
Practice Address - Fax:212-228-2261
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2019-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031895183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist