Organization
JOHN MENDIOLA MD PLLC
Active
Other names
MindBody Therapeutics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MENDIOLA MD (OWNER)
(646) 258-1120
Entity
Organization
Contact information
Practice address
111 BROADWAY, SUITE 905, 9TH FL, NEW YORK, NY 10006
(646) 258-1120
Mailing address
133 STERLING PL APT 5A, BROOKLYN, NY 11217-3382
(646) 258-1120
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/15/2019
Last updated
04/15/2019
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