Provider Demographics
NPI:1245783505
Name:MENDELSON, TOVA
Entity Type:Individual
Prefix:
First Name:TOVA
Middle Name:
Last Name:MENDELSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TOVA
Other - Middle Name:
Other - Last Name:HERSKOVIC
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:11 EDISON CT
Mailing Address - Street 2:APT E
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-1917
Mailing Address - Country:US
Mailing Address - Phone:412-952-0497
Mailing Address - Fax:
Practice Address - Street 1:286 N MAIN ST
Practice Address - Street 2:SUITE 210
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-3704
Practice Address - Country:US
Practice Address - Phone:845-354-3233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-03
Last Update Date:2016-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator