Individual ProviderPatricia Ann MendozaPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address14 Waterview Ct, Staten Island, NY 10305-3148(917) 704-3805PECOS EnrollmentBased on the most recent information from CMS, provider Patricia Ann Mendoza does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1669133351Provider TypeIndividualFull NameMendoza, Patricia AnnTitleMs.CredentialPA-CGenderFemaleSole ProprietorYesEnumeration Date1/4/2022Last Updated1/4/2022Contact InformationPractice LocationPractice Address14 Waterview Ct, Staten Island, NY 10305-3148Phone(917) 704-3805FaxUnlisted FaxMailing LocationMailing Address14 Waterview Ct, Staten Island, NY 10305-3148PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted Issuer