Individual provider · Type 1 NPI

Melissa Mendoza, NP

Family Nurse Practitioner · Great Neck, NY

NPI number 1790408268 Active

Practice location

611 Northern Blvd Ste 150
Great Neck, NY 11021-5207

Mailing address

611 Northern Blvd
Great Neck, NY 11021-5207

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X350190 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1790408268

Melissa Mendoza, NP's National Provider Identifier is 1790408268, issued on Sep 20, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Great Neck, NY. The record was last updated on Mar 23, 2026.