Individual
ANA V MENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
244 BUEL AVE, STATEN ISLAND, NY 10305-1204
(718) 979-0642
Mailing address
244 BUEL AVE, STATEN ISLAND, NY 10305-1204
(718) 317-9094
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
221104
NY
208000000X
Pediatrics Physician
221104
NY
Other
Enumeration date
10/12/2006
Last updated
03/20/2013
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