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NPI Code Detail

MEDICARE: KOREY MEHLROSE

MEDICARE: KOREY MEHLROSE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1093681819
Entity Type Code : Individual
Provider Name (Legal Business Name) : KOREY MEHLROSE
Provider Business Mailing Address
First Line : 277 E AMADOR AVE STE 101
Second Line :
City : LAS CRUCES
State : NM
Zip : 88001-3675
Country : US
Telephone Number : 505-392-3482
Fax Number :
Provider Business Practice Location Address
First Line : 325 1ST AVE FL 1
Second Line :
City : BAYPORT
State : NY
Zip : 11705-1303
Country : US
Telephone Number : 631-201-7865
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2025
Last Update Date : 10/17/2025

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Directions to “ KOREY MEHLROSE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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