Provider Demographics
NPI:1447554233
Name:PATANKAR, ALMAS (MD)
Entity type:Individual
Prefix:MS
First Name:ALMAS
Middle Name:
Last Name:PATANKAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 HOLLOW LN
Mailing Address - Street 2:SUITE 301
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11042-1220
Mailing Address - Country:US
Mailing Address - Phone:516-869-0650
Mailing Address - Fax:516-869-0655
Practice Address - Street 1:200 CARNEY ST
Practice Address - Street 2:APT. 201
Practice Address - City:GLEN COVE
Practice Address - State:NY
Practice Address - Zip Code:11542-4394
Practice Address - Country:US
Practice Address - Phone:347-665-6651
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-07
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME018932208000000X
NY287242208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics