Individual
DEXTER MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
(212) 241-6500
Mailing address
1 GUSTAVE L LEVY PL FL 12, NEW YORK, NY 10029-6574
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
311016
NY
Other
Enumeration date
03/28/2013
Last updated
09/17/2024
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