Individual
HETA MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3648 BROADWAY, NEW YORK, NY 10031-2520
(212) 281-4400
Mailing address
3033 JOHN F KENNEDY BLVD APT 22, JERSEY CITY, NJ 07306-3666
(201) 736-8957
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
050303-01
NY
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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