Provider Demographics
NPI:1124251012
Name:G. S. MEHAR PHYSICIAN, P.C.
Entity type:Organization
Organization Name:G. S. MEHAR PHYSICIAN, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GURINDER
Authorized Official - Middle Name:S
Authorized Official - Last Name:MEHAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-534-7700
Mailing Address - Street 1:14 ELM ST
Mailing Address - Street 2:
Mailing Address - City:CORNWALL
Mailing Address - State:NY
Mailing Address - Zip Code:12518-1410
Mailing Address - Country:US
Mailing Address - Phone:845-534-7700
Mailing Address - Fax:845-534-3674
Practice Address - Street 1:14 ELM ST
Practice Address - Street 2:
Practice Address - City:CORNWALL
Practice Address - State:NY
Practice Address - Zip Code:12518-1410
Practice Address - Country:US
Practice Address - Phone:845-534-7700
Practice Address - Fax:845-534-3674
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-26
Last Update Date:2009-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY167456207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty