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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