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Organization
MICHAEL W. MENDELSON, M.D., P.C.
Active
Organization
MICHAEL W. MENDELSON, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL W MENDELSON M.D. (PRESIDENT)
(631) 331-3200
Entity
Organization
Contact information
Practice address
5360 NESCONSET HWY STE B, PORT JEFFERSON STATION, NY 11776-2018
(631) 331-3200
(631) 331-3694
Mailing address
5360 NESCONSET HWY STE B, PORT JEFFERSON STATION, NY 11776-2018
(631) 331-3200
(631) 331-3694
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
110115
NY
207RP1001X
Pulmonary Disease Physician
110115
NY
Other
Enumeration date
10/22/2010
Last updated
05/24/2021
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