Individual
LUISA MEJIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 W KINGSBRIDGE RD, BRONX, NY 10468-3904
(718) 584-9000
Mailing address
851 E 216TH ST, BRONX, NY 10467-5816
(845) 636-6594
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
00068290
NY
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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