CORINNA LUISE MENDIS (NPI# 1467635169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467635169 |
| Entity Type | Individual |
| Full Name | CORINNA LUISE MENDIS |
| Credential | R.PA.C. |
| Practice Address |
2500 Nesconset Hwy Bldg 21c Stony Brook NY 11790-2555 |
| Mailing Address |
2500 Nesconset Highway Bldg 21c Stony Brook NY 11790 |
| Practice Telephone | 6312468289 |
| Practice Fax Number | 6312468294 |
| Mailing Telephone | 6312468289 |
| Mailing Fax Number | 6312468294 |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2007-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
012299 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2500 NESCONSET HWY BLDG 21C |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11790-2555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556025 | Marc Yland | Anesthesiology | 2500 Nesconset Hwy, Bldg 24c, Stony Brook, NY 11790-2598 | 2005-05-27 |
| 1417471202 | Brandon M Henkowicz Dc, P.C. | Chiropractor | 2500 Nesconset Hwy, Stony Brook, NY 11790-2555 | 2017-08-02 |
| 1902345846 | Michael Fama | Physical Therapist | 2500 Nesconset Hwy, Bldg 22b, Stony Brook, NY 11790-2555 | 2017-02-13 |
| 1790149045 | Three Village Orthodontics | Dentist | 2500 Nesconset Hwy, Building 6-b, Stony Brook, NY 11790-2555 | 2016-04-12 |
| 1790156008 | Morgan Smyth | Physician Assistant | 2500 Nesconset Hwy, Stony Brook, NY 11790-2555 | 2015-10-13 |
| 1679964043 | Diana V Carney | Nurse Practitioner | 2500 Nesconset Hwy, Bldg 16, Suite 63, Stony Brook, NY 11790-2555 | 2015-02-06 |
| 1528469442 | Stoney Brook Dental PC | Dentist | 2500 Nesconset Hwy, Suite 11, Stony Brook, NY 11790-2555 | 2014-09-10 |
| 1235545732 | Robert Mosca Physical Therapy, Pllc | Specialist | 2500 Nesconset Hwy, Stony Brook, NY 11790-2555 | 2014-07-03 |
| 1841606605 | Shana Anthony | Physical Therapist | 2500 Nesconset Hwy, Stony Brook, NY 11790-2555 | 2014-07-01 |
| 1891136073 | Comprehensive Neurology of Long Island PC | Neuromusculoskeletal Medicine & OMM | 2500 Nesconset Hwy, Bldg 5b, Stony Brook, NY 11790-2555 | 2013-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649807678 | Ribu Mathew | Student in an Organized Health Care Education/Training Program | Health Science Center T16, Room 020, Stony Brook, NY 11790 | 2020-03-27 |
| 1538794821 | Chaoyang Qu | Student in an Organized Health Care Education/Training Program | 9 Syncamore Dr, Stonybrook, NY 11790 | 2020-03-06 |
| 1457814824 | Brain & Spine Surgery, P.C. | Neurological Surgery | 2500 Nesconset Hwy., Bldg 18c, Stony Brook, NY 11790 | 2019-04-11 |
| 1447759741 | Susan Cuccia | Registered Nurse | 40 Sheppard Lane, Stony Brook, NY 11790 | 2018-02-02 |
| 1972022234 | Carol M Doherty | Specialist | 7 Haskel Lane, Stony Brook, NY 11790 | 2017-09-18 |
| 1972021582 | Louren M Gonzales | Nurse Practitioner | 100 Nicolls Rd Hsc Level 4 Room 120, Hsc Level 4 Room 120, Stony Brook, NY 11790 | 2017-09-04 |
| 1043740954 | Asma Khattak | Behavior Technician | 90 Quaker Path, Stony Brook, NY 11790 | 2017-06-13 |
| 1427452846 | Christina Georgia | Registered Nurse | 36 Ivy League Lane, Stony Brook, NY 11790 | 2014-10-14 |
| 1124361654 | Mandeep Kainth | Student in an Organized Health Care Education/Training Program | Department of Medicine Hsc Level 16, 020, Suny Stony Brook, Stony Brook, NY 11790 | 2013-04-03 |
| 1922357144 | Audry M Luciano | Registered Nurse | 2500 Nesconset Hwy Bldg 23, Stony Brook, NY 11790 | 2012-09-04 |
| Find all providers in zip 11790 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609412741 | Thomas Banks | Physician Assistant | 100 Nicolls Rd, Stony Brook, NY 11790-3407 | 2019-11-25 |
| 1487133575 | Marissa Anne Romano | Physician Assistant | 100 Nicolls Rd, Stony Brook, NY 11790-3407 | 2018-08-09 |
| 1164893806 | Brittni Ann Munn | Physician Assistant | Stony Brook University Hospital, Department of Surgery/stony Brook Medicine Hsc19-020, Stony Brook, NY 11794-8191 | 2015-10-07 |
| 1801293642 | Christina Michelle Janssen | Physician Assistant | New York Spine and Brain Surgery, Department of Neurosurgery Hsc T12 Rm 080, Stony Brook, NY 11794-8122 | 2014-11-21 |
| 1497025985 | Brittany George | Physician Assistant | New York Spine and Brain Surgery, Hcs T12 Rm 080, Stony Brook, NY 11794-8122 | 2011-12-30 |
| 1356675730 | Cynthia M Murtha | Physician Assistant | Stony Brook University Hospital, Hsc Level 18 Rm 080, Stony Brook, NY 11794 | 2009-10-01 |
| 1417199373 | Sharline Dawes | Physician Assistant | Stony Brook University Medical Ctr, Nicolls Rd., Stony Brook, NY 11794-0001 | 2009-03-24 |
| 1265686174 | Wei He | Physician Assistant | Stony Brook University Medical Ctr, Hsc T19080, Stony Brook, NY 11794-0001 | 2008-11-05 |
| 1083880850 | Colleen Christiansen | Physician Assistant | 100 Nicolls Rd, Hsc Room T12 Room 080, Stony Brook, NY 11794-8122 | 2008-05-01 |
| 1841468626 | Christopher Murman | Physician Assistant | Stony Brook University Hospital, Hsc T12 Room 80, Stony Brook, NY 11794-0001 | 2008-02-14 |
| Find all providers in STONY BROOK | ||||
| City | STONY BROOK |
| Zip Code | 11790 |
Please comment or provide details below to improve the information on CORINNA LUISE MENDIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.