Individual provider · Type 1 NPI

Christa Quilaneta Mendoza, MAS

Student in an Organized Health Care Education/Training Program · Coram, NY

NPI number 1013325737 Active

Practice location

2505 Townehouse Dr
Coram, NY 11727-2867

Call (631) 846-9213 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1013325737

Christa Quilaneta Mendoza, MAS's National Provider Identifier is 1013325737, issued on Jul 25, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Coram, NY. The record was last updated on Jul 25, 2014.