Provider Demographics
NPI:1477615326
Name:MEHLING ORTHOPEDICS PLLC
Entity Type:Organization
Organization Name:MEHLING ORTHOPEDICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:A
Authorized Official - Last Name:CAPITANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-893-3903
Mailing Address - Street 1:800 MONTAUK HWY
Mailing Address - Street 2:
Mailing Address - City:WEST ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11795-4919
Mailing Address - Country:US
Mailing Address - Phone:631-893-3903
Mailing Address - Fax:631-893-3906
Practice Address - Street 1:800 MONTAUK HWY
Practice Address - Street 2:
Practice Address - City:WEST ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11795-4919
Practice Address - Country:US
Practice Address - Phone:631-893-3903
Practice Address - Fax:631-893-3906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-15
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY219517207XX0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic TraumaGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWEQ791Medicare PIN