Individual
NELSON MENDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
381 PAWTUCKET AVE, PAWTUCKET, RI 02860-5145
(401) 965-4382
Mailing address
327 BEACH 19TH ST, DEPT FAMILY PRACTICE, FAR ROCKAWAY, NY 11691-4423
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
274558-1
NY
Other
Enumeration date
06/25/2014
Last updated
06/25/2014
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