| Doctor Name: | ERICA L MENDELSOHN |
| NPI Number: | 1164448411 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.P.A.-C |
| License Number: | 006388 |
| Business Practice Address: | 3318 S Main St Horseheads, NY - 148453405 |
| Business Phone Number: | 6077394289 |
| Business Fax Number: | 6077391238 |
| Mailing Address: | 722 W Water St, ELMIRA |
| State: | NY |
| Postal Code: | 149052435 |
| Phone Number: | 6072712050 |
| Fax Number: | 6072712099 |
| NPI Enumeration Date: | 07/13/2006 |
| NPI Last Update Date: | 11/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 006388 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |