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1740323500
KIM KEZIAH MENDEZ
PATCHOGUE, NY
NPI
1740323500
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY F300689-1)
Enumeration Date
2007-02-14
Last Update Date
2007-07-08
Business Address
Dr. KIM KEZIAH MENDEZ ANP-C
101 HOSPITAL RD BROOKHAVEN MEMORIAL HOSPITAL
PATCHOGUE, NY 11772-4870
Phone number: 631-687-4124
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Mailing Address
Dr. KIM KEZIAH MENDEZ ANP-C
3 COOKS RD
EAST PATCHOGUE, NY 11772-5606
Phone number: 631-687-4124
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