Individual
ROBERT MENDELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
89-06 135 STREET, 2T, JAMAICA, NY 11418
(718) 206-6742
(718) 206-6905
Mailing address
89-06 135 STREET, 7L, JAMAICA, NY 11418
(718) 206-7820
(718) 206-6786
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
167290
NY
207RC0000X
Cardiovascular Disease Physician
Primary
167290
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01207785
—
NY
Enumeration date
03/24/2006
Last updated
07/16/2010
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