Provider Demographics
NPI:1184515389
Name:MEFTI, MOUNIRA (MD)
Entity type:Individual
Prefix:
First Name:MOUNIRA
Middle Name:
Last Name:MEFTI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 MILDRED LN # 12110
Mailing Address - Street 2:
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110-3501
Mailing Address - Country:US
Mailing Address - Phone:347-200-2698
Mailing Address - Fax:
Practice Address - Street 1:428 ROUTE 146
Practice Address - Street 2:
Practice Address - City:ALTAMONT
Practice Address - State:NY
Practice Address - Zip Code:12009-4409
Practice Address - Country:US
Practice Address - Phone:518-861-5141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP136616207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine