Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0203X | Pediatric Critical Care Doctor | 286304 | NY |
N | 2080P0203X | Pediatric Critical Care Doctor | MD445808 | PA |
NPI | 1215104088 |
---|---|
Provider Name | Dr. Cesar F Mella |
First Address | Bronx, NY 10456-3402 |
Second Address | Bronx, NY 10456-3402 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2008 |
Last Update Date | 25/04/2017 |