Organization
FABIO MEHRGUT, M.D.,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FABIO MEHRGUT M.D. (MEDICAL DOCTOR)
(718) 529-4780
Entity
Organization
Contact information
Practice address
95-11 101 AVENUE, OZONE PARK, NY 11416-2500
(718) 529-4780
(718) 529-4783
Mailing address
95-11 101 AVENUE, OZONE PARK, NY 11416-2500
(718) 529-4780
(718) 529-4783
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
NY168071
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01207258
—
NY
Enumeration date
03/25/2014
Last updated
03/25/2014
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