Individual provider · Type 1 NPI
Fabius Mekontchou, NP
Psychiatric/Mental Health Nurse Practitioner · Bronx, NY
NPI number
1508106287
Active
Practice location
2054 Tillotson Ave
Bronx, NY 10475-1560
Mailing address
2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | F403247 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1508106287
Fabius Mekontchou, NP's National Provider Identifier is 1508106287, issued on Feb 18, 2013. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Bronx, NY. The record was last updated on Apr 27, 2021.