Individual
DONNA MAE MENDOZA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
127 E MAIN ST, SMITHTOWN, NY 11787-2840
(631) 880-7577
Mailing address
7 OCALA CT, SELDEN, NY 11784-3741
(631) 448-2361
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
013805-01
NY
Other
Enumeration date
03/10/2026
Last updated
03/10/2026
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