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Organization
JOHN MENDIOLA MD PLLC
Active
Organization
JOHN MENDIOLA MD PLLC
Active
Other names
MindBody Therapeutics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MENDIOLA MD (OWNER)
(646) 258-1120
Entity
Organization
Contact information
Practice address
111 BROADWAY, SUITE 905, 9TH FL, NEW YORK, NY 10006
(646) 258-1120
Mailing address
133 STERLING PL APT 5A, BROOKLYN, NY 11217-3382
(646) 258-1120
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
—
NULL
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/15/2019
Last updated
04/15/2019
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