Provider Demographics
NPI:1164308805
Name:MENDEZ, YANEISY (LPN)
Entity type:Individual
Prefix:
First Name:YANEISY
Middle Name:
Last Name:MENDEZ
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 EAST AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14604-2699
Mailing Address - Country:US
Mailing Address - Phone:585-325-5100
Mailing Address - Fax:585-325-5100
Practice Address - Street 1:360 EAST AVE STE 100
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14604-2699
Practice Address - Country:US
Practice Address - Phone:585-325-5100
Practice Address - Fax:585-325-5100
Is Sole Proprietor?:No
Enumeration Date:2025-08-15
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY333004164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse