| Doctor Name: | SUPRIYA N PATIL |
| NPI Number: | 1316287659 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 036037 |
| Business Practice Address: | 3636 33rd St Suite 500 Long Island City, NY - 111062329 |
| Business Phone Number: | 2125299780 |
| Business Fax Number: | |
| Mailing Address: | 300 Somerset St, Apt 463 HARRISON |
| State: | NJ |
| Postal Code: | 070292340 |
| Phone Number: | 4122730387 |
| Fax Number: | |
| NPI Enumeration Date: | 02/24/2013 |
| NPI Last Update Date: | 03/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 036037 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |