Organization
CHRISTA-LYNDA Q. MENDOZA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTA-LYNDA QUILANETA MENDOZA (TEACHER)
(631) 388-1587
Entity
Organization
Contact information
Practice address
2505 TOWNEHOUSE DR, CORAM, NY 11727-2867
(631) 846-9213
Mailing address
2505 TOWNEHOUSE DR, CORAM, NY 11727-2867
(631) 846-9213
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
854145324
NY
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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