Individual
MRS. SUSY MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
202 W PARK AVE, SUITE 201, LONG BEACH, NY 11561-3212
(718) 757-6384
Mailing address
30 DARTMOUTH ST, VALLEY STREAM, NY 11581-3214
(718) 757-6384
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
024660-1
NY
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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