Provider Demographics
NPI:1699948240
Name:MEJIA, FRANKLIN D (MD)
Entity type:Individual
Prefix:
First Name:FRANKLIN
Middle Name:D
Last Name:MEJIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:180 CABRINI BLVD
Mailing Address - Street 2:APT. # 62
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10033-1138
Mailing Address - Country:US
Mailing Address - Phone:646-391-3670
Mailing Address - Fax:
Practice Address - Street 1:125 WHITE ST
Practice Address - Street 2:MANHATTAN DETENTION CENTER C/O MEDICAL CLINIC ADMINIST
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-4497
Practice Address - Country:US
Practice Address - Phone:347-774-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-03
Last Update Date:2017-01-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY195111207R00000X
FLME66965207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine