Individual
AMY MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
755 PARK AVE, NEW YORK, NY 10021-4255
(855) 295-4144
(631) 257-5098
Mailing address
125 KENNEDY DR STE 400, HAUPPAUGE, NY 11788-4017
(855) 295-4144
(631) 257-5098
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036.145316
IL
207W00000X
Ophthalmology Physician
291140
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05658911
—
NY
Enumeration date
04/29/2014
Last updated
01/21/2021
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