Tina Mendoza
Occupational Therapist
26 Sea Gate Ave
Westhampton
, New York 11977-1121
Tina Mendoza
Occupational Therapist
26 Sea Gate Ave
Westhampton
, New York 11977-1121
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About
Features
Specialties
- Occupational Therapist
Languages spoken
- English
Location
First Address
- Tina Mendoza
- 26 Sea Gate Ave
- Westhampton, NY
- Zip : 11977-1121
- Phone :
Second Address
- Tina Mendoza
- 26 Sea Gate Ave
- Westhampton, NY
- Zip : 11977-1121
- Phone : (631) 998-3046
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 003744 | NY |
National Provider Identifier
| NPI | 1003952284 |
|---|---|
| Provider Name | Tina Mendoza |
| First Address | Westhampton, NY 11977-1121 |
| Second Address | Westhampton, NY 11977-1121 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/01/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.