Healthcare Provider Details

I. General information

NPI: 1992943914
Provider Name (Legal Business Name): MARIA DEL ALBA MEJIA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARIA MEJIA M.D.

II. Dates (important events)

Enumeration Date: 01/29/2009
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 E 149TH ST RM 121
BRONX NY
10451-5504
US

IV. Provider business mailing address

234 EAST 149TH STREET, 7B RM 121
BRONX NY
10451-4805
US

V. Phone/Fax

Practice location:
  • Phone: 718-579-4820
  • Fax:
Mailing address:
  • Phone: 718-579-4820
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number268640
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: