Basic Information
Provider Information
NPI: 1730368705
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MENDS
FirstName: FRANCINE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 52 MAIN ST
Address2:  
City: BEDFORD HILLS
State: NY
PostalCode: 105071814
CountryCode: US
TelephoneNumber: 9146662220
FaxNumber: 9146662987
Practice Location
Address1: 52 MAIN ST
Address2:  
City: BEDFORD HILLS
State: NY
PostalCode: 105071814
CountryCode: US
TelephoneNumber: 9525951100
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/26/2007
LastUpdateDate: 03/24/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085N0700X264783NYN Allopathic & Osteopathic PhysiciansRadiologyNeuroradiology
2085R0202X264783NYY Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology

No ID Information.


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