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General NPI Number Information
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NPI Number | 1811120975
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Entity Type | Individual
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Provider Name | MRS. CECILIA FRANCISCA MENDOZA
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Gender | Female
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Dates
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Enumeration Date | 08/24/2009
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Last Update Date | 08/24/2009
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Provider Practice Location Address
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Address Line | 130 W KINGSBRIDGE RD
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City | BRONX
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State | NY
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Zip | 10468-3904
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Country | US
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Telephone | 718-584-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 95 BUENA VISTA AVE
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City | YONKERS
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State | NY
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Zip | 10701-3568
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Country | US
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Telephone | 914-968-2964
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 007043
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License Number State | NY
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