Individual
RUTH SCARLET MENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRATICIONER
Contact information
Practice address
128 CHARTER OAKS AVE, BRENTWOOD, NY 11717-5109
(631) 464-6009
Mailing address
128 CHARTER OAKS AVE, BRENTWOOD, NY 11717-5109
(631) 464-6009
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
312107
NY
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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