Individual
NUBIA MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
459 E 149TH ST STE 202, BRONX, NY 10455-1789
(844) 400-1975
Mailing address
267 GUY LOMBARDO AVE, FREEPORT, NY 11520-4915
(516) 519-0467
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
859585-01
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
406664
NY
Other
Enumeration date
02/23/2023
Last updated
03/26/2025
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