Individual
LAKSHMI MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 305-6731
(212) 305-9058
Mailing address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 305-6731
(212) 305-9058
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
197153
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01530116
—
NY
Enumeration date
11/13/2006
Last updated
07/16/2021
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