National Provider Identifier

Adriana Mendoza, PA

Adriana Mendoza, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Newark, NY and a listed phone number of (585) 750-4823.

NPI 1518706142Newark, NYPhysician Assistant

Profile Overview

NPI
1518706142
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
May 22, 2024
Last Updated
October 18, 2024

Practice Location

  • 1200 Driving Park Ave
  • Newark, NY 14513-1090

Phone: (585) 750-4823

Mailing Address

  • 100 Kings Hwy S
  • Rochester, NY 14617-5504

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1518706142
Entity Type
Individual
Last Name
Mendoza
First Name
Adriana
Credential
PA
Mailing Street Address
100 Kings Hwy S
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-5504
Mailing Country
US
Practice Street Address
1200 Driving Park Ave
Practice City
Newark
Practice State
NY
Practice ZIP Code
14513-1090
Practice Country
US
Practice Phone
(585) 750-4823
Enumeration Date
May 22, 2024
Last Updated
October 18, 2024
Sex
Female
Sole Proprietor
No
Certification Date
October 18, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)