Organization
MENDOZA CHIROPRACTIC OFFICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUEL A MENDOZA JR. D.C. (PRESIDENT)
(516) 565-3534
Entity
Organization
Contact information
Practice address
717 FRONT ST, HEMPSTEAD, NY 11550-4534
(516) 565-3534
(516) 565-2745
Mailing address
717 FRONT ST, HEMPSTEAD, NY 11550-4534
(516) 565-3534
(516) 565-2745
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X007741
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X007741
NYS LICENSE
NY
Enumeration date
01/02/2007
Last updated
08/22/2020
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