Provider Demographics
NPI:1720379407
Name:MENDELSON, ANN
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:MENDELSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MAALOT DAFNA 117
Mailing Address - Street 2:APT. 19
Mailing Address - City:JERUSALEM
Mailing Address - State:ISRAEL
Mailing Address - Zip Code:97762
Mailing Address - Country:IL
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:23 AMOS ST.
Practice Address - Street 2:
Practice Address - City:JERUSALEM
Practice Address - State:ISRAEL
Practice Address - Zip Code:97762
Practice Address - Country:IL
Practice Address - Phone:9722-594-4333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-28
Last Update Date:2011-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0127121225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics