Individual
ROBERT MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
79 MIDDLEVILLE ROAD, DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER, NORTHPORT, NY 11768-2290
(631) 261-4400
Mailing address
3 COOKS RD, EAST PATCHOGUE, NY 11772-5606
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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