Individual
MATTHEW SAMUEL JOAQUIN MENDEZ-ZFASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
159 E 74TH ST, NEW YORK, NY 10021-3235
(212) 737-3301
Mailing address
112 SAINT MARKS PL APT 1, BROOKLYN, NY 11217-4843
(804) 347-0266
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
275271
NY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
275271
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2009
Last updated
11/25/2019
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