National Provider Identifier Database

JACQUELINE MENDEZ
Optician


Contact Information

JACQUELINE MENDEZ
451 NORTHFIELD AVE
STATEN ISLAND, NY10306
Phone: 917-771-9899
Fax:
Website:
Specialty Taxonomy Code
* Optician 156FX1800X

* Indicates primary specialty

NPI Profile & details for JACQUELINE MENDEZ

NPI Number 1417622978
Credentials
Entity Individual
Enumeration date 08/16/2021
Last updated 08/16/2021 - About 5 years ago
Sole proprietor1 No
Identifiers
  • NY License #: 009607
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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