Provider Information for 1942729561
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MOHALK INC
Organization Subpart: NO
NPI: 1942729561
Last Updated: 2022-07-21
Certification Date:
Certification Date:
Details
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NPI | 1942729561 | ||||||||
Enumeration Date | 2017-09-14 | ||||||||
NPI Type | NPI-2 Organization | ||||||||
Status | Active | ||||||||
Authorized Official Information | Name: HARSH A PATEL Title: President Phone: 5182669038 | ||||||||
Mailing Address | 471 FULTON ST TROY, NY 12180-3507 United States Phone: 518-266-9038 | Fax:518-874-4058 | ||||||||
Primary Practice Address | 471 FULTON ST TROY, NY 12180-3507 United States Phone: 518-266-9038 | Fax:518-874-4058 | ||||||||
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