Individual
MR. ALEX MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
75 SMITH ST, PERTH AMBOY, NJ 08861-4413
(347) 784-1617
Mailing address
8611 107TH ST, RICHMOND HILL, NY 11418-1605
(347) 784-1617
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
026971
NY
225100000X
Physical Therapist
Primary
40QA01488900
NJ
Other
Enumeration date
10/02/2008
Last updated
02/25/2016
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