Healthcare Provider Details

I. General information

NPI: 1780482893
Provider Name (Legal Business Name): HELIANA MEJIA-SCHERL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/04/2025
Last Update Date: 03/04/2025
Certification Date: 03/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

790 PARK AVE
HUNTINGTON NY
11743-4516
US

IV. Provider business mailing address

790 PARK AVENUE
HUNTINGTON NY
11743-4516
US

V. Phone/Fax

Practice location:
  • Phone: 631-427-3700
  • Fax:
Mailing address:
  • Phone: 631-427-3700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number125026-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: