Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 019774-1 | NY |
NPI | 1023553864 |
---|---|
Provider Name | Erica Mezei |
First Address | Bronx, NY 10471-3611 |
Second Address | Bronx, NY 10469-6409 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2017 |
Last Update Date | 04/01/2017 |