Organization
DUTCHESS MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS MENDOZA MD (OWNER)
(845) 473-4537
Entity
Organization
Contact information
Practice address
696 DUTCHESS TPKE STE B, POUGHKEEPSIE, NY 12603-6445
(845) 473-4537
(845) 473-7804
Mailing address
696 DUTCHESS TPKE STE B, POUGHKEEPSIE, NY 12603-6445
(845) 473-4537
(845) 473-7804
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
145488-3
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145488-3
STATE MEDICAL LICENCE
NY
Enumeration date
02/20/2007
Last updated
08/22/2020
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