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Organization
MEHTA MEDICAL PC
Active
Organization
MEHTA MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEETA MEHTA MD (OWNER)
(718) 909-9378
Entity
Organization
Contact information
Practice address
3979 LACONIA AVE, BRONX, NY 10466-4916
(347) 442-7656
(347) 442-7049
Mailing address
9 DE CHIARO LN, WILLISTON PARK, NY 11596-1007
(347) 442-7656
(347) 442-7049
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182250048
—
NY
Enumeration date
10/01/2018
Last updated
08/14/2020
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