Individual
MRS. JANICE PEREZ-MENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
400 WINTERS DR N, MASTIC, NY 11950-1013
(631) 790-6867
Mailing address
400 WINTERS DR N, MASTIC, NY 11950-1013
(631) 790-6867
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
008825-1
NY
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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