Individual
CHENSY EIDI MARQUEZ MEJIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PI
Contact information
Practice address
4761 BROADWAY APT 2K, NEW YORK, NY 10034-4911
(347) 951-2416
Mailing address
4761 BROADWAY APT 2K, NEW YORK, NY 10034-4911
(347) 951-2416
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2708
PR
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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