Organization
LONG ISLAND BARIATRIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAAYAL P MEHTA M.D. (SOLE MEMBER)
(631) 356-3125
Entity
Organization
Contact information
Practice address
715 ROANOKE AVE, RIVERHEAD, NY 11901-2729
(631) 963-4750
Mailing address
8 OLD SCHOOLHOUSE RD, MANORVILLE, NY 11949-3069
(631) 356-3125
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
234672-1
NY
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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