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1508106287
FABIUS MEKONTCHOU
BRONX, NY
NPI
1508106287
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY F403247)
Enumeration Date
2013-02-18
Last Update Date
2021-04-27
Business Address
FABIUS MEKONTCHOU NP
2054 TILLOTSON AVE
BRONX, NY 10475-1560
Phone number: 718-671-2100
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Mailing Address
FABIUS MEKONTCHOU NP
2601 OCEAN PKWY
BROOKLYN, NY 11235-7745
Phone number: 347-615-4803
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