Individual
JAYESH R MEHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 OLD NYACK TPKE, SUITE 503, NANUET, NY 10954-2461
(845) 627-2800
(845) 627-7827
Mailing address
55 OLD NYACK TPKE, SUITE 503, NANUET, NY 10954-2461
(845) 627-2800
(845) 627-7827
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
200651
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
200651
NY
207RP1001X
Pulmonary Disease Physician
Primary
200651
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01832099
—
NY
Enumeration date
10/12/2006
Last updated
12/12/2014
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