# CHRISTA-LYNDA Q. MENDOZA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750797080
- **Authorized official:** MRS. CHRISTA-LYNDA QUILANETA MENDOZA (TEACHER)
- **Authorized official phone:** (631) 388-1587

## Contact information

- **Practice address:** 2505 TOWNEHOUSE DR, CORAM, NY 11727-2867
- **Practice address phone:** (631) 846-9213
- **Mailing address:** 2505 TOWNEHOUSE DR, CORAM, NY 11727-2867
- **Mailing address phone:** (631) 846-9213

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 854145324 | NY | Yes |

## Other

- **Enumeration date:** 07/08/2014
- **Last updated:** 07/08/2014