Organization
CARROLL ANN MENDONCA PT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARROLL ANN MENDONCA PT (OWNER)
(718) 738-2236
Entity
Organization
Contact information
Practice address
12711 111TH AVE, SOUTH OZONE PARK, NY 11420-1604
(718) 738-2236
(718) 738-2195
Mailing address
12711 111TH AVE, SOUTH OZONE PARK, NY 11420-1604
(718) 738-2236
(718) 738-2195
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
022988
NY
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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