Individual
MEERA K MONTESDEOCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
374 STOCKHOLM ST, BROOKLYN, NY 11237-4006
(718) 963-7272
Mailing address
1513 DUMONT AVE, BROOKLYN, NY 11208-4707
(347) 951-4907
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
NY
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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