Individual
ENZA D MENTESANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
7715 4TH AVENUE, BROOKLYN, NY 11209
(718) 833-2300
(718) 836-2305
Mailing address
7715 4TH AVENUE, BROOKLYN, NY 11209
(718) 833-2300
(718) 836-2305
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
253310
NY
Other
Enumeration date
06/17/2009
Last updated
06/17/2009
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