Organization
WALTER E. MENDOZA CHIROPRACTOR, P.C
Active
Organization
WALTER E. MENDOZA CHIROPRACTOR, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER ENRIQUE MENDOZA D.C. (CHIROPRACTOR)
(516) 213-4610
Entity
Organization
Contact information
Practice address
330 S LONG BEACH AVE, FREEPORT, NY 11520-4345
(516) 213-4610
(516) 213-4819
Mailing address
330 S LONG BEACH AVE, FREEPORT, NY 11520-4345
(516) 213-4610
(516) 213-4819
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
010611
NY
Other
Enumeration date
03/30/2007
Last updated
07/23/2007
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