Individual
JOSE MANUEL MENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7902 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372-6717
(718) 779-3333
(718) 779-4422
Mailing address
7902 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372-6717
(718) 779-3333
(718) 779-4422
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
225192
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02318041
—
NY
Enumeration date
11/18/2005
Last updated
07/08/2007
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