Individual
BRYAN ROWELL MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1529 WILLIAMSBRIDGE RD, BRONX, NY 10461-2502
(718) 794-8464
Mailing address
1529 WILLIAMSBRIDGE RD, BRONX, NY 10461-2502
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
106509
NY
1041C0700X
Clinical Social Worker
Primary
092819
NY
Other
Enumeration date
05/21/2019
Last updated
04/03/2026
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