Denise Mevs

NPI #1013455740 in Ronkonkoma, New York

Provider Information

NPI Number: 1013455740
Entity Type: Individual
Name: Denise Mevs
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Feb 1, 2017
Last Updated: Feb 1, 2017

Practice Location

Address: 45 RICHMOND BLVD
Address 2: 1A
City: Ronkonkoma
State: New York
ZIP Code: 11779-3444
Phone: (917) 825-1770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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