Individual
DR. ANTONY JOSEPH MENDOLA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
PARK AVENUE HEALTH CARE, 3 BARKER AVE, 4TH FLOOR, WHITE PLAINS, NY 10601
(914) 949-1199
(914) 949-1245
Mailing address
738 MCCOY RD, FRANKLIN LAKES, NJ 07417-1217
(914) 949-1199
(914) 941-1245
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
194664-1
NY
2084P0800X
Psychiatry Physician
25MA06686400
NJ
2084P0800X
Psychiatry Physician
ME 95214
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01653910
—
NY
Enumeration date
06/05/2006
Last updated
07/08/2007
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