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1790408268
MELISSA MENDOZA
GREAT NECK, NY
NPI
1790408268
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 350190)
Enumeration Date
2022-09-20
Last Update Date
2022-09-20
Business Address
Ms. MELISSA MENDOZA NP
611 NORTHERN BLVD STE 150
GREAT NECK, NY 11021-5207
Phone number: 516-325-7000
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Mailing Address
Ms. MELISSA MENDOZA NP
96 BIRCHWOOD PARK DR
SYOSSET, NY 11791-6410
Phone number: 516-507-2905
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