Individual
JACQUELINE DONGMO MEKONTCHOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 CROSS RIVER RD, KATONAH, NY 10536-3549
(347) 898-0813
Mailing address
225EAST 149TH STREET, APT. 17G, BRONX, NY 10451
(347) 898-0813
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F403298
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F403298
NY
Other
Enumeration date
02/20/2014
Last updated
09/22/2023
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