Individual
CHARLEEN MENDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11555 237TH ST, ELMONT, NY 11003-3926
(516) 643-0520
Mailing address
11555 237TH ST, ELMONT, NY 11003-3926
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
12/28/2016
Last updated
12/28/2016
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