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NPI Code Detail

MEDICARE: JASMIN MENDEZ LMSW

MEDICARE: JASMIN MENDEZ LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker085845-1NY

General Provider Information

NPI Number : 1245596220
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMIN MENDEZ LMSW
Provider Business Mailing Address
First Line : 1468 ASTOR AVE APT 1R
Second Line :
City : BRONX
State : NY
Zip : 10469-5845
Country : US
Telephone Number : 646-851-4685
Fax Number :
Provider Business Practice Location Address
First Line : 6339 MILL ST
Second Line :
City : RHINEBECK
State : NY
Zip : 12572-1427
Country : US
Telephone Number : 845-871-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2012
Last Update Date : 12/30/2014

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Directions to “ JASMIN MENDEZ LMSW” Practice Location

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