Shailesh Suresh Pathare in Staten Island - Specialist

Shailesh Suresh Pathare - NPI 1487738829

Shailesh Suresh Pathare is a Specialist in Staten Island, New York. Shailesh Suresh Pathare practices all healthcare services and medical treatments related to Specialist. The NPI Number for Shailesh Suresh Pathare is 1487738829. The last update date is 2021-05-10.

Shailesh Suresh Pathare's current location address is 565 Jewett Ave, Staten Island, New York. You can contact this provider via phone number 7187016010 and fax number 7184477831. The mailing address for Shailesh Suresh Pathare is 565 Jewett Ave, Staten Island, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Shailesh Suresh Pathare
Address 565 Jewett Ave, Staten Island, New York
Phone Number 7187016010
Fax Number 7184477831
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1487738829
Provider Enumeration Date 2006-10-24
Last Updated Date 2021-05-10

Provider Mailing Address Detail

Address 565 Jewett Ave
City Staten Island
State New York (NY)
Post Code 103022654
Phone Number 7187016010
Fax Number 7184477831

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 205677-1
Definition:
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
0012J1 NY EMPIRE BC BS
173446 NY ELDERPLAN
205677 NY HIP
355618300 NY US DEPT OF LABOR
P1883750 NY OXFORD
2006962 NY --
4C4399 NY PHS/HEALTHNET
8799893 NY GHI
P00006210 NY RAILROAD MEDICARE

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FAQs about Shailesh Suresh Pathare

What is the unique 10-digit identification code issued to Shailesh Suresh Pathare by the Centers for Medicare & Medicaid Services?

The Shailesh Suresh Pathare has been assigned the NPI (National Provider Identifier) 1487738829 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Shailesh Suresh Pathare's facilities are situated?

The facilities of Shailesh Suresh Pathare are physically located at the following address: 565 Jewett Ave, Staten Island, NY, 103022654.

What is Shailesh Suresh Pathare's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Shailesh Suresh Pathare is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1487738829 to Shailesh Suresh Pathare?

The Centers for Medicare & Medicaid Services originally issued the 1487738829 to Shailesh Suresh Pathare on 2006-10-24.

As of what date were the Shailesh Suresh Pathare's details last updated?

The information pertaining to the Shailesh Suresh Pathare, including its address, specialty, and other details, was most recently updated on 2021-05-10.

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