Individual
CHRISTOPHER MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8403 57TH AVE, ELMHURST, NY 11373-4833
(347) 987-5409
Mailing address
6243 83RD PL, MIDDLE VILLAGE, NY 11379-1943
(347) 987-5409
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
026392
NY
Other
Enumeration date
12/17/2021
Last updated
12/17/2021
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