National Provider Identifier

Demetrius Mendes

Demetrius Mendes is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 448-2895.

NPI 1588169627Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1588169627
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
March 29, 2018
Last Updated
March 29, 2018

Practice Location

  • 190 Golden Rod Ln
  • Rochester, NY 14623-3651

Phone: (585) 448-2895

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1588169627
Entity Type
Individual
Last Name
Mendes
First Name
Demetrius
Mailing Street Address
190 Golden Rod Ln
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14623-3651
Mailing Country
US
Mailing Phone
(585) 448-2895
Practice Street Address
190 Golden Rod Ln
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14623-3651
Practice Country
US
Practice Phone
(585) 448-2895
Enumeration Date
March 29, 2018
Last Updated
March 29, 2018
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)