Provider Demographics
NPI:1174219422
Name:MENDEZ, SARAH J (EDD, RN, AOCNS)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:J
Last Name:MENDEZ
Suffix:
Gender:F
Credentials:EDD, RN, AOCNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 MAMARONECK AVE APT 310
Mailing Address - Street 2:
Mailing Address - City:MAMARONECK
Mailing Address - State:NY
Mailing Address - Zip Code:10543-3764
Mailing Address - Country:US
Mailing Address - Phone:914-261-3081
Mailing Address - Fax:
Practice Address - Street 1:160 E 34TH ST FL 11
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-4744
Practice Address - Country:US
Practice Address - Phone:212-731-5790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-11
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY496735364SX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SX0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistOncology