# MENDOZA CHIROPRACTIC OFFICE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528125515
- **Authorized official:** DR. MANUEL A MENDOZA JR. D.C. (PRESIDENT)
- **Authorized official phone:** (516) 565-3534

## Contact information

- **Practice address:** 717 FRONT ST, HEMPSTEAD, NY 11550-4534
- **Practice address phone:** (516) 565-3534
- **Practice address fax:** (516) 565-2745
- **Mailing address:** 717 FRONT ST, HEMPSTEAD, NY 11550-4534
- **Mailing address phone:** (516) 565-3534
- **Mailing address fax:** (516) 565-2745

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X007741 | NY | Yes |

## Other

- **Enumeration date:** 01/02/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | X007741 | NYS LICENSE | NY |