Shyam Tukaram Patil, M.D.
Individual provider Active NPI Psychiatry Physician · Thiells, NY
NPI 1033299490 · NPPES record last updated May 28, 2009
Key facts
- NPI
- 1033299490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 153502-1 (NY)
- Practice address
- 11 Wilbur Road
New York State Hvddso
Thiells, NY 10984-0470 - Phone
- (845) 947-6220
- Fax
- (845) 947-6240
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 153502-1 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nysarc Inc Sullivan County Chapter | Past |
Accepting new patients | |
| Montefiore Medical Center | Past | Accepting new patients | |
| Putnam Family and Community Services Inc | Past | Accepting new patients | |
| Putnam Family and Community Services Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 153502-1 | NY | Yes |
Addresses
Primary practice location
11 Wilbur Road
New York State Hvddso
Thiells, NY 10984-0470
Mailing address
11 Wilbur Road
New York State Hvddso
Thiells, NY 10984-0470
Phone (845) 947-6220
Other providers in Thiells, NY
- Carol Ann Greenan Moetzinger
- MVB Dental Care,P.C.
- New York State
- New York State Hvddso
- Kerry Orr
- Timothy James Pitiger
- Pitrelli Services Inc.
- Anne Marie Pitrelli
- Veronica Popovics
- Emmanuella Raymond
All providers in Thiells, NY · Psychiatry Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.