Individual
JACQUELINE MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
451 NORTHFIELD AVE, STATEN ISLAND, NY 10306
(917) 771-9899
Mailing address
294 COLONY AVE, STATEN ISLAND, NY 10306-5949
(917) 771-9899
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
009607
NY
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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