# WEM DIAGNOSTIC CHIROPRACTIC SERVICES PC

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

## Provider details

- **NPI number:** 1942576210
- **Authorized official:** DR. WALTER ENRIQUE MENDOZA DC (CHIROPRACTOR)
- **Authorized official phone:** (516) 213-4610

## Contact information

- **Practice address:** 31 GUY LOMBARDO AVE STE 2, FREEPORT, NY 11520-3632
- **Practice address phone:** (516) 213-4610
- **Practice address fax:** (516) 213-4819
- **Mailing address:** 31 GUY LOMBARDO AVE STE 2, FREEPORT, NY 11520-3632
- **Mailing address phone:** (516) 213-4610
- **Mailing address fax:** (516) 213-4819

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | 010611 | NY | Yes |

## Other

- **Enumeration date:** 03/30/2012
- **Last updated:** 03/30/2012