Mendicino, Mara

Mendicino, Mara is an individual health care provider with primary practice located at 100 Route 59 , Airmont NY 10901-4927. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Mendicino, Mara can be contacted via phone (845) 369-9701.

Contact Information

Primary practice address
100 Route 59 Airmont NY 10901-4927
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 21917 New York

Profile Details

NPI number 1609320829
LBN Legal business name Mendicino, Mara
Credentials CASAC-G
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2016
Last updated Aug 4th, 2016 - about 8 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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