GLENNDA CAMERO MENDOZA (NPI# 1699219642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699219642 |
| Entity Type | Individual |
| Full Name | GLENNDA CAMERO MENDOZA |
| Practice Address |
962 Manor Rd Staten Island NY 10314-7011 |
| Mailing Address |
66 Devon Loop Staten Island NY 10314-5961 |
| Practice Telephone | 7189825944 |
| Mailing Telephone | 6093845979 |
| Enumeration Date | 2016-12-09 |
| Last Update Date | 2016-12-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
040944 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
962 MANOR RD |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10314-7011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366753329 | Esther Misrahi Elting | Occupational Therapist | 962 Manor Rd, Staten Island, NY 10314-7011 | 2010-06-24 |
| 1578108080 | Jan Misaylidi | Physical Therapist | 962 Manor Rd, Staten Island, NY 10314-7041 | 2019-11-08 |
| 1396395422 | Kristi Antionette Lucchesi | Counselor | 962 Manor Rd, Staten Island, NY 10314-7041 | 2019-09-20 |
| 1205483344 | Jessica Curry | Speech-Language Pathologist | 962 Manor Rd, Staten Island, NY 10314-7041 | 2019-08-22 |
| 1568943736 | Andrea Kathryn Doumar | Occupational Therapist | 962 Manor Rd, Staten Island, NY 10314 | 2018-08-27 |
| 1629558861 | Jennifer Palase | Occupational Therapist | 962 Manor Rd, Staten Island, NY 10314-7011 | 2018-08-17 |
| 1477060374 | Jessica Mirabello | Counselor | 962 Manor Rd, Staten Island, NY 10314-7011 | 2018-01-02 |
| 1003326778 | Alexandra Castris | Physical Therapist | 962 Manor Rd, Staten Island, NY 10314-7011 | 2017-10-06 |
| 1164932455 | Jodi Sabella | Speech-Language Pathologist | 962 Manor Rd, Staten Island, NY 10314-7011 | 2017-10-02 |
| 1346759198 | Kerlin Alendry | Physical Therapist | 962 Manor Rd, Staten Island, NY 10314-7011 | 2017-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076255 | Edward Leccese | Massage Therapist | 77 Renee Place, Staten Island, NY 10314 | 2020-09-01 |
| 1871154633 | Matthew Richard Puliatti | Counselor | 1688 Victory Boulevard, Staten Island, NY 10314 | 2019-06-24 |
| 1750845137 | Miriam Gordon Pediatric Np PC | Nurse Practitioner | 7 Ismay Street, Staten Island, NY 10314 | 2019-01-30 |
| 1003391186 | 2791 Richmond LLC | Dentist | 2791 Richmond Avenue, Suite 2, Staten Island, NY 10314 | 2018-09-25 |
| 1477046522 | Miriam A Madry | Optometrist | 569 Woolley Ave, Staten Island, NY 10314 | 2018-06-13 |
| 1174025894 | Staten Island Dentistry P.C. | Clinic/Center | 979 Willowbrook Rd., Staten Island, NY 10314 | 2018-03-08 |
| 1205335023 | Ashley Larsen | Early Intervention Provider Agency | 229 Wellington Ct, Staten Island, NY 10314 | 2018-02-07 |
| 1306369699 | Victoria Ali | Behavior Technician | 228 Melvin Avenue, Staten Island, NY 10314 | 2017-07-19 |
| 1700307360 | Lydia Mora | Specialist | 2025 Richmond Avenue Suite 200, Staten Island, NY 10314 | 2017-07-03 |
| 1366971707 | Lisa Pietracatella | Massage Therapist | 92 Margaretta Court, Staten Island, NY 10314 | 2017-06-08 |
| Find all providers in zip 10314 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417404310 | Amanda Percaccio | Physical Therapist | 1931 Richmond Ave # 203, Staten Island, NY 10314-3889 | 2016-09-08 |
| 1447673025 | Theresa Hakeem | Physical Therapist | 223 Bradley Ave # 2, Staten Island, NY 10314-5166 | 2014-02-02 |
| 1265708077 | Juvy Rivera | Physical Therapist | 140 Palma Dr, Staten Island, NY 10304-3400 | 2012-03-26 |
| 1730454745 | Ofira Furhang | Physical Therapist | 144 Keating Pl, Staten Island, NY 10314-6145 | 2012-03-09 |
| 1508174673 | Jill Conlon | Physical Therapist | 73 Woodvale Ave, Staten Island, NY 10309-3520 | 2010-09-22 |
| 1447567821 | Patricia Catanzaro | Physical Therapist | 3651 Richmond Rd, Staten Island, NY 10306-1434 | 2010-09-08 |
| 1447563531 | Jennifer Marie Avallone | Physical Therapist | 493 Genesee Ave, Staten Island, NY 10312-3205 | 2010-07-19 |
| 1679884076 | Camille L'insalata | Physical Therapist | 2206 Clove Rd, Staten Island, NY 10305-1542 | 2010-06-30 |
| 1063641082 | Yelena Fisher | Physical Therapist | 187 Forest St, Staten Island, NY 10314-3839 | 2009-07-12 |
| 1780813477 | Deborah Powell | Physical Therapist | 300 Lyndale Ave, Staten Island, NY 10312-6127 | 2009-07-02 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10314 |
Please comment or provide details below to improve the information on GLENNDA CAMERO MENDOZA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.