Individual
BHOOMI MEHROTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 PORT WASHINGTON BLVD, ROSLYN, NY 11576-1347
(516) 325-7500
(516) 325-7525
Mailing address
PO BOX 1056, PORT WASHINGTON, NY 11050-1056
(516) 629-2453
(516) 629-2452
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
199234
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01569180
—
NY
Enumeration date
12/11/2006
Last updated
10/28/2013
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