Individual
DR. JORGE MENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
9632 CORONA AVE, CORONA, NY 11368-2733
(917) 720-6449
Mailing address
9632 CORONA AVE, CORONA, NY 11368-2733
(917) 720-6449
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007356
NY
Other
Enumeration date
04/13/2019
Last updated
04/13/2019
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