Healthcare Provider Details

I. General information

NPI: 1649459538
Provider Name (Legal Business Name): CLAUDIA J MEJIA C.R.N.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/29/2007
Last Update Date: 04/07/2023
Certification Date: 04/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 GUSTAVE L LEVY PL ANESTHESIOLOGY - BOX 1010
NEW YORK NY
10029-6500
US

IV. Provider business mailing address

PO BOX 12023
NEWARK NJ
07101-5023
US

V. Phone/Fax

Practice location:
  • Phone: 800-627-4470
  • Fax: 412-937-5710
Mailing address:
  • Phone: 800-627-4470
  • Fax: 412-937-5710

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number537085-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: