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Amy Menditto
NPI 1538742762 · on the registry since 2021 · sole proprietor
Practice
- Address
- 3253 Route 112 Ste 10
Medford, NY 11763 - Phone
- (631) 880-7929
- Organisation at this address
- Self Initiated Living Options Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-05-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York