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1255331419
PRABHU MEHTA
WEST ISLIP, NY
NPI
1255331419
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: NY 171718)
Enumeration Date
2005-07-28
Last Update Date
2007-07-08
Business Address
-- PRABHU MEHTA MD
1000 MONTAUK HWY
WEST ISLIP, NY 11795-4927
Phone number: 631-376-4161
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Mailing Address
-- PRABHU MEHTA MD
1000 MONTAUK HWY DEPARTMENT OF NEONATOLOGY
WEST ISLIP, NY 11795-4927
Phone number: 631-376-4161
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