Individual
MANESI GLORIVI MENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP, RN, BSN
Contact information
Practice address
155 POLIFLY RD STE 102, HACKENSACK, NJ 07601-1771
(551) 996-8840
(201) 441-9949
Mailing address
400 FORT WASHINGTON AVE APT 1C, NEW YORK, NY 10033-6837
(212) 923-8500
(212) 923-6718
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
706473-1
NY
363L00000X
Nurse Practitioner
Primary
26NJ15360200
NJ
363LP0200X
Pediatric Nurse Practitioner
F382735-1
NY
Other
Enumeration date
07/11/2016
Last updated
10/03/2025
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