Individual
ADRIANA MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1200 DRIVING PARK AVE, NEWARK, NY 14513-1090
(585) 750-4823
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
032645
NY
Other
Enumeration date
05/22/2024
Last updated
10/18/2024
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