Individual
MR. JEFFREY DAVID MENDELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
24 LINCOLN RD N, PLAINVIEW, NY 11803-5324
(516) 236-8234
Mailing address
24 LINCOLN RD N, PLAINVIEW, NY 11803-5324
(516) 236-8234
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1324383
NY
Other
Enumeration date
07/24/2013
Last updated
07/24/2013
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