Provider Demographics
NPI:1417539727
Name:MEHTA, NEIL RAJIV SAILESH (MD)
Entity type:Individual
Prefix:DR
First Name:NEIL
Middle Name:RAJIV SAILESH
Last Name:MEHTA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1 LEIGHTON ST APT T1006
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02141-1875
Mailing Address - Country:US
Mailing Address - Phone:305-766-7899
Mailing Address - Fax:845-471-1815
Practice Address - Street 1:300 GARDEN CITY PLZ STE 314
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-3331
Practice Address - Country:US
Practice Address - Phone:516-866-4540
Practice Address - Fax:845-471-1815
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-26
Last Update Date:2025-07-10
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Provider Licenses
StateLicense IDTaxonomies
NY3370572084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty