Individual
JUAN M TAPIA-MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3332 BROADWAY, NEW YORK, NY 10031-8732
(212) 694-2000
(212) 281-4296
Mailing address
3332 BROADWAY, NEW YORK, NY 10031-8732
(212) 694-2000
(212) 281-4296
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
186175
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194828459
—
NY
Enumeration date
09/05/2006
Last updated
12/14/2012
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