Priyanka Mehta, PA-C
Physician Assistant in Melville, NY. Individual provider (NPI-1).
NPI number1093545451
StatusActive
Last updated in NPPESAug 1, 2024
Details
- NPI
- 1093545451
- Entity type
- Individual (NPI-1)
- Name
- Priyanka Mehta
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 1, 2024
- Certification date
- Aug 1, 2024
- Last updated
- Aug 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 032100-01 | NY | Yes |
Practice location
150 Broadhollow Rd Ste 120Melville, NY 11747-4901
Phone 651-401-8795
Mailing address
916 Dolphin LnHolbrook, NY 11741-6208
Phone 516-640-8776
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