| NPI | 1033268198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MRUGENDRA I MEHTA President 607-739-2890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: NY 224413) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |