Mejia, Wanda Esperanza
Mejia, Wanda Esperanza is an individual health care provider with primary practice located at 1966 E Main St , Mohegan Lake NY 10547-1231. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Mejia, Wanda Esperanza can be contacted via phone (914) 526-2144.Contact Information
Primary practice address
1966 E Main St
Mohegan Lake NY 10547-1231
Phone: (914) 526-2144
Fax: (914) 526-2187
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 048615 | New York |
Profile Details
| NPI number | 1033122775 |
|---|---|
| LBN Legal business name | Mejia, Wanda Esperanza |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 14th, 2006 |
| Last updated | Apr 23rd, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033122775 | NPPES |
| New York | MEDICAID | 02166109 |
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