Individual
DR. LEENA MEHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2211 LYELL AVE, ROCHESTER, NY 14606-5743
(585) 429-5555
(585) 429-6581
Mailing address
790 LINDEN AVE, ROCHESTER, NY 14625-2716
(585) 385-9030
(585) 385-9124
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
140922
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005299541
COMMUNITY BLUE
NY
01
—
102343AP
PREFERRED CARE
NY
01
—
2655649
AETNA
NY
01
—
7701501
MVP
NY
01
—
88249
GHI
NY
01
—
9351
BLUE SHIELD
NY
01
—
P010140922
BLUE CHOICE
NY
Enumeration date
07/07/2006
Last updated
07/08/2007
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