# COLORECTAL SURGERY & MEDICINE, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033268198
- **Authorized official:** DR. MRUGENDRA I MEHTA MD (PRESIDENT)
- **Authorized official phone:** (607) 739-2890

## Contact information

- **Practice address:** 2977 WESTINGHOUSE RD, HORSEHEADS, NY 14845-8120
- **Practice address phone:** (607) 739-2890
- **Practice address fax:** (607) 739-2893
- **Mailing address:** 2977 WESTINGHOUSE RD, HORSEHEADS, NY 14845-8120
- **Mailing address phone:** (607) 739-2890
- **Mailing address fax:** (607) 739-2893

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208C00000X | Colon & Rectal Surgery Physician | 224413 | NY | Yes |

## Other

- **Enumeration date:** 01/09/2007
- **Last updated:** 08/22/2020