Individual
PREM S. MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
160 N MIDLAND AVE, NYACK HOSPITAL, NYACK, NY 10960-1912
(845) 348-2862
Mailing address
43 KENSICO DR, 2ND FLOOR, MOUNT KISCO, NY 10549-1009
(914) 666-8866
(914) 666-6777
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
245503
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
245503
NY
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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