Individual
FABIAN ANDRES MEJIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3100 47TH AVE, 2120 D, LONG ISLAND CITY, NY 11101-3013
(718) 593-4121
Mailing address
3100 47TH AVE, 2120 D, LONG ISLAND CITY, NY 11101-3013
(718) 593-4121
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
005784
NY
Other
Enumeration date
05/24/2013
Last updated
05/24/2013
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