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NPI Code Detail

MEDICARE: DR. ASHESH DINESH MEHTA MD

MEDICARE:  DR. ASHESH DINESH MEHTA  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207T00000XNeurological Surgery Physician222895NY

General Provider Information

NPI Number : 1972579886
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ASHESH DINESH MEHTA MD
Provider Business Mailing Address
First Line : 12 FOREST CT
Second Line :
City : SYOSSET
State : NY
Zip : 11791-1119
Country : US
Telephone Number : 516-584-6117
Fax Number :
Provider Business Practice Location Address
First Line : 611 NORTHERN BLVD
Second Line :
City : GREAT NECK
State : NY
Zip : 11021-5207
Country : US
Telephone Number : 516-325-7061
Fax Number : 516-325-7001
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2006
Last Update Date : 01/22/2013

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Directions to “ DR. ASHESH DINESH MEHTA MD” Practice Location

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