Provider Demographics
NPI:1134594500
Name:MEJIAS, KARINA
Entity type:Individual
Prefix:
First Name:KARINA
Middle Name:
Last Name:MEJIAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1881 GRAND CONCOURSE
Mailing Address - Street 2:APT.#3F
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10453
Mailing Address - Country:US
Mailing Address - Phone:917-831-8543
Mailing Address - Fax:
Practice Address - Street 1:1881 GRAND CONCOURSE
Practice Address - Street 2:APT.#3F
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10453
Practice Address - Country:US
Practice Address - Phone:917-831-8543
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-10
Last Update Date:2015-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator