Healthcare Provider Details

I. General information

NPI: 1538742762
Provider Name (Legal Business Name): AMY LYNNE MENDITTO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2021
Last Update Date: 05/05/2021
Certification Date: 05/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3253 ROUTE 112 STE 10
MEDFORD NY
11763-1411
US

IV. Provider business mailing address

3253 ROUTE 112 STE 10
MEDFORD NY
11763-1411
US

V. Phone/Fax

Practice location:
  • Phone: 631-880-7929
  • Fax:
Mailing address:
  • Phone: 631-880-7929
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number111159-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: