MISS Theresa Elizabeth Mendez

NPI #1588003453 in Glendale, New York

Provider Information

NPI Number: 1588003453
Entity Type: Individual
Name: MISS Theresa Elizabeth Mendez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Jun 24, 2013
Last Updated: Jun 24, 2013

Practice Location

Address: 7609 79TH ST
City: Glendale
State: New York
ZIP Code: 11385-7540
Phone: (718) 456-5014

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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