Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 337190 | NY |
NPI | 1003188681 |
---|---|
Provider Name | Silvia R Mehmel |
First Address | Bronx, NY 10469-6102 |
Second Address | Bronx, NY 10469-6102 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2012 |
Last Update Date | 13/03/2013 |