Organization
HISPANIOLA PEDIATRICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE MANUEL MENDEZ M.D. (PRESIDENT)
(718) 565-2144
Entity
Organization
Contact information
Practice address
4048 JUNCTION BLVD, FIRST FLOOR, CORONA, NY 11368-2206
(718) 565-2144
(718) 565-2177
Mailing address
4048 JUNCTION BLVD, FIRST FLOOR, CORONA, NY 11368-2206
(718) 565-2144
(718) 565-2177
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
08/19/2011
Last updated
08/19/2011
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