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Organization
WEM DIAGNOSTIC CHIROPRACTIC SERVICES PC
Active
Organization
WEM DIAGNOSTIC CHIROPRACTIC SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER ENRIQUE MENDOZA DC (CHIROPRACTOR)
(516) 213-4610
Entity
Organization
Contact information
Practice address
31 GUY LOMBARDO AVE STE 2, FREEPORT, NY 11520-3632
(516) 213-4610
(516) 213-4819
Mailing address
31 GUY LOMBARDO AVE STE 2, FREEPORT, NY 11520-3632
(516) 213-4610
(516) 213-4819
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
010611
NY
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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