Organization
COLORECTAL SURGERY & MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MRUGENDRA I MEHTA MD (PRESIDENT)
(607) 739-2890
Entity
Organization
Contact information
Practice address
2977 WESTINGHOUSE RD, HORSEHEADS, NY 14845-8120
(607) 739-2890
(607) 739-2893
Mailing address
2977 WESTINGHOUSE RD, HORSEHEADS, NY 14845-8120
(607) 739-2890
(607) 739-2893
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
224413
NY
Other
Enumeration date
01/09/2007
Last updated
08/22/2020
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