Individual
DELFIN MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 LAKEVIEW ST, RIVER EDGE, NJ 07661-1720
(917) 513-2511
Mailing address
20 LAKEVIEW ST, RIVER EDGE, NJ 07661-1720
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
016411-1
NY
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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