Organization
ERNESTO MENDOZA M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNESTO MENDOZA M.D. (PRESIDENT)
(718) 397-9058
Entity
Organization
Contact information
Practice address
4045 78TH ST, ELMHURST, NY 11373-1152
(718) 397-9058
Mailing address
4045 78TH ST, ELMHURST, NY 11373-1152
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
152994
NY
Other
Enumeration date
03/17/2010
Last updated
03/17/2010
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