Individual
MRS. MA. MELITA MENDOZA HEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0002
(585) 275-2901
Mailing address
253 FIESTA RD, GREECE, NY 14626-3841
(585) 615-4100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
309656
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F309656-01
NY
Other
Enumeration date
10/05/2020
Last updated
07/03/2023
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