Christa-Lynda Q. Mendoza

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

854145324 Issued in NY

Legal business name

CHRISTA-LYNDA Q. MENDOZA

Practice address

2505 Townehouse Dr
Coram, NY 11727-2867

Phone

(631) 846-9213

NPI assigned

Jul 8, 2014

Last updated

Jul 8, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Christa-Lynda Quilaneta Mendoza

Title

Teacher

Phone

(631) 388-1587

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christa Quilaneta Mendoza, MAS

  • Student in an Organized Health Care Education/Training Program
  • Coram, NY
  • NPI 1013325737
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404777600000",
    "number": "1750797080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 TOWNEHOUSE DR",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117272867",
            "telephone_number": "631-846-9213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 TOWNEHOUSE DR",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117272867",
            "telephone_number": "631-846-9213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTA-LYNDA Q. MENDOZA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-08",
        "last_updated": "2014-07-08",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "CHRISTA-LYNDA",
        "authorized_official_middle_name": "QUILANETA",
        "authorized_official_title_or_position": "TEACHER",
        "authorized_official_telephone_number": "631-388-1587",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "854145324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronaldine Celestin
• Cynthia Centrella, LPN
• Paul G Ceschini
• Youseline Champagne, R.N.
• Brittany Chernoff, LPN
• Riley Christian
• Victoria S Chua, MD
• Jessica Ciardullo
• Debra A Ciccarelli, LMSW
• Lisa A Ciochetto

• Early Intervention Provider Agency in Coram, NY
• Providers in Coram, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.