Individual
ANTHONY J MENDICINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6692 MIDDLE RD, SUITE 2100, SODUS, NY 14551-9602
(315) 483-1199
(315) 483-2451
Mailing address
PO BOX 423, PENN YAN, NY 14527-0423
(315) 531-9102
(315) 531-9103
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
42164
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02562825
—
NY
01
—
70461FL
EXCELLUS SODUS SITE
NY
01
—
70503GH
EXCELLUS GENEVA SITE
NY
Enumeration date
09/25/2006
Last updated
02/16/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us