Provider Demographics
NPI:1982929055
Name:PATEL, JIGNA H (DOCTOR OF PHARMACY)
Entity type:Individual
Prefix:
First Name:JIGNA
Middle Name:H
Last Name:PATEL
Suffix:
Gender:F
Credentials:DOCTOR OF PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14850 87TH AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11435-3112
Mailing Address - Country:US
Mailing Address - Phone:516-428-0776
Mailing Address - Fax:
Practice Address - Street 1:14850 87TH AVE FL 2
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11435-3112
Practice Address - Country:US
Practice Address - Phone:516-428-0776
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-01
Last Update Date:2010-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY054206-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist