Individual
AUDREY MEJIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
242-16 93RD AVE, BELLEROSE, NY 11426
(646) 251-4985
Mailing address
242-16 93RD AVE, BELLEROSE, NY 11426
(646) 251-4985
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
694633
NY
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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