Mendez, Kim Keziah

Mendez, Kim Keziah is an sole proprietor health care provider with primary practice located at 101 Hospital Rd Brookhaven Memorial Hospital, Patchogue NY 11772-4870. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Mendez, Kim Keziah can be contacted via phone (631) 687-4124.

Contact Information

Primary practice address
101 Hospital Rd Brookhaven Memorial Hospital Patchogue NY 11772-4870
Phone: (631) 687-4124
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F300689-1 New York

Profile Details

NPI number 1740323500
LBN Legal business name Mendez, Kim Keziah
Credentials ANP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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