Individual
KASSANDRA MENDOZA CARCAMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 BLUE HILL PLZ FL 3, PEARL RIVER, NY 10965-3104
(845) 694-2420
Mailing address
1 BLUE HILL PLAZA, 3RD FLOOR, P.O. BOX 1611, PEARL RIVER, NY 10965
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/15/2019
Last updated
04/15/2019
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