Provider Demographics
NPI:1477699346
Name:MENDEZ-KURTZ, LUCY (MS, CCC-A)
Entity Type:Individual
Prefix:
First Name:LUCY
Middle Name:
Last Name:MENDEZ-KURTZ
Suffix:
Gender:F
Credentials:MS, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2245 RYDER ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-5115
Mailing Address - Country:US
Mailing Address - Phone:718-377-1536
Mailing Address - Fax:
Practice Address - Street 1:447 77TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-3205
Practice Address - Country:US
Practice Address - Phone:718-745-2826
Practice Address - Fax:718-745-0040
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000867-1231H00000X
NY14000004648237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Not Answered237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY137028OtherWELLCARE
NY100051671501OtherUNITEDHEALTHCARE MEDICAID
NY1900917 003OtherCIGNA MEDICARE
NY730000867NY01OtherANTHEM HEALTH
NYBK00467 01OtherAMERICHOICE
NY147447OtherPREFERRED CARE
NY3C1705OtherHEALTH NET
NY4899773OtherGHI
NY5691413OtherAETNA
NYML0867OtherATLANTIS HEALTH PLAN
NY00000516715OtherUNITED HEALTHCARE
NY161820OtherELDERPLAN
NY1900917 004OtherCIGNA
NYP-54027105OtherMULTI-PLAN
NY37077OtherGHI HMO
NYKS208OtherOXFORD
NYM0367-1OtherBLUE CROSS BLUE SHIELD
NY730000867NY01OtherANTHEM HEALTH