Mr Brian Russell Mendola, is a
Student In An Organized Health Care Education/training Program based in Mamaroneck, New York. Mr Brian Russell Mendola is licensed to practice in * (Not Available) (license number ) and his current practice location is
514 Stanley Ave, Mamaroneck, New York. He can be reached at his office (for appointments etc.) via phone at
(914) 246-4427.
NPI number for Mr Brian Russell Mendola is 1538921671 and his current mailing address is 514 Stanley Ave, Mamaroneck, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1538921671.
Provider's Profile
Full Name | Mr Brian Russell Mendola |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 514 Stanley Ave, Mamaroneck, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1538921671
- Provider Enumeration Date: 01/24/2024
- Last Update Date: 01/24/2024
Medical Identifiers
Medical identifiers for Mr Brian Russell Mendola such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538921671 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Brian Russell Mendola is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Brian Russell Mendola, 514 Stanley Ave, Mamaroneck, NY 10543-2536 Ph: (914) 246-4427 | Mr Brian Russell Mendola, 514 Stanley Ave, Mamaroneck, NY 10543-2536 Ph: (914) 246-4427 |
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