Mendez, Michelle Susan

Mendez, Michelle Susan is an individual health care provider with primary practice located at 106 S Perry St Ste 4, Watkins Glen NY 14891-1615. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mendez, Michelle Susan can be contacted via phone (607) 535-8282.

Contact Information

Primary practice address
106 S Perry St Ste 4 Watkins Glen NY 14891-1615
Phone: (607) 535-8282
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X P73297 New York

Profile Details

NPI number 1740516095
LBN Legal business name Mendez, Michelle Susan
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2009
Last updated Dec 16th, 2009 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740516095 NPPES
New York MEDICAID P73297

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