Individual
DAVID MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
43 ARISTA DR, DIX HILLS, NY 11746-4920
(631) 683-4393
(631) 683-4395
Mailing address
43 ARISTA DR, DIX HILLS, NY 11746-4920
(631) 683-4393
(631) 683-4395
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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