Provider Demographics
NPI:1114716370
Name:MENDEZ, ANNIE (CF-SLP, TSSLD, BE)
Entity type:Individual
Prefix:
First Name:ANNIE
Middle Name:
Last Name:MENDEZ
Suffix:
Gender:
Credentials:CF-SLP, TSSLD, BE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2440 HUNTER AVE APT 8G
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10475-5663
Mailing Address - Country:US
Mailing Address - Phone:347-360-4406
Mailing Address - Fax:
Practice Address - Street 1:10 AMBER LN
Practice Address - Street 2:
Practice Address - City:OYSTER BAY
Practice Address - State:NY
Practice Address - Zip Code:11771-3115
Practice Address - Country:US
Practice Address - Phone:347-770-4009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist