Individual ProviderRowena MendozaPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address150 55th St, Brooklyn, NY 11220-2559(718) 636-0794(718) 630-7824PECOS EnrollmentBased on the most recent information from CMS, provider Rowena Mendoza does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 1:21 PM.Profile DetailsProvider ID1376865907Provider TypeIndividualFull NameMendoza, RowenaTitleMs.CredentialPAGenderFemaleSole ProprietorYesEnumeration Date2/24/2010Last Updated2/24/2010Contact InformationPractice LocationPractice Address150 55th St, Brooklyn, NY 11220-2559Phone(718) 636-0794Fax(718) 490-5292Mailing LocationMailing Address5800 3rd Ave, Brooklyn, NY 11220-3702Phone(718) 630-7824Fax(714) 630-7437Provider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense003553New York