Individual provider · Type 1 NPI

Corinna Luise Mendis, R.PA.C.

Surgical Physician Assistant · Stony Brook, NY

NPI number 1467635169 Active

Practice location

2500 Nesconset Hwy, Bldg 21C
Stony Brook, NY 11790-2555

Call (631) 246-8289 Map

Fax (631) 246-8294

Mailing address

2500 Nesconset Highway, Bldg 21C
Stony Brook, NY 11790

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X012299 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1467635169

Corinna Luise Mendis, R.PA.C.'s National Provider Identifier is 1467635169, issued on Dec 17, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Stony Brook, NY. The record was last updated on Dec 17, 2007.