Individual
JENNILIZ MENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
166 LYONS AVE FL 1, NEWARK, NJ 07112-2016
(973) 926-7428
Mailing address
3959 BROADWAY, NEW YORK, NY 10032-1559
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA10572700
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2015
Last updated
08/09/2025
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