Ada Mendoza | Cortlandt Manor, NY • PECOS Search

Ada Mendoza

Social Worker

Behavioral Health & Social Service Providers

129a Oregon Rd, Cortlandt Manor, NY 10567-1249

PECOS Enrollment

Based on the most recent information from CMS, provider Ada Mendoza does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1134694789
Provider Type
Individual
Full Name
Mendoza, Ada
Credential
LMSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
10/10/2018
Last Updated
10/10/2018

Contact Information

Practice Location

129a Oregon Rd, Cortlandt Manor, NY 10567-1249

Unlisted Fax

Mailing Location

129a Oregon Rd, Cortlandt Manor, NY 10567-1249

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 078549 New York