Provider Demographics
NPI:1649316456
Name:MENDLOWITZ, SARA (RPA)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:MENDLOWITZ
Suffix:
Gender:F
Credentials:RPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 VAN BUREN DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:MONROE
Mailing Address - State:NY
Mailing Address - Zip Code:10950-6018
Mailing Address - Country:US
Mailing Address - Phone:845-783-2222
Mailing Address - Fax:845-782-6706
Practice Address - Street 1:22 VAN BUREN DR
Practice Address - Street 2:SUITE 102
Practice Address - City:MONROE
Practice Address - State:NY
Practice Address - Zip Code:10950-6018
Practice Address - Country:US
Practice Address - Phone:845-783-2222
Practice Address - Fax:845-782-6706
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
NY006628208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics