Individual
DR. GERSON F MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3749 91ST ST, JACKSON HEIGHTS, NY 11372-7927
(718) 639-5700
Mailing address
3749 91ST ST, JACKSON HEIGHTS, NY 11372-7927
(718) 639-5700
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
005270
NY
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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