MEDICARE: CINDY MEJIA

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
1	390200000X	Student in an Organized Health Care Education/Training Program
2	235Z00000X	Speech-Language Pathologist		NY

General Provider Information

NPI Number	:	1821585019
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CINDY MEJIA

Provider Business Mailing Address
First Line	:	442 E HOUSTON ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10002-1122
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	442 E HOUSTON ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10002-1122
Country	:	US
Telephone Number	:	212-677-5710
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2018
Last Update Date	:	03/31/2021

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Directions to “ CINDY MEJIA ” Practice Location

Language	Start Address	Practice Location

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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