Individual
JEANCARLOS MEJIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1653 SAINT NICHOLAS AVE APT 12E, NEW YORK, NY 10040-3013
(646) 731-4895
Mailing address
1653 SAINT NICHOLAS AVE APT 12E, NEW YORK, NY 10040-3013
(646) 731-4895
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/26/2019
Last updated
03/26/2019
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