Provider Demographics
NPI:1568350320
Name:PATEL, YESHA VIPULKUMAR
Entity type:Individual
Prefix:
First Name:YESHA
Middle Name:VIPULKUMAR
Last Name:PATEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 NELSON AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07307-4597
Mailing Address - Country:US
Mailing Address - Phone:571-337-8686
Mailing Address - Fax:
Practice Address - Street 1:535 E TREMONT AVE FL 3
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-4627
Practice Address - Country:US
Practice Address - Phone:718-208-4499
Practice Address - Fax:718-208-4466
Is Sole Proprietor?:No
Enumeration Date:2025-06-27
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY054280225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist