Individual
CONCHITA MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
270 9TH ST, BROOKLYN, NY 11215-3906
(347) 921-3623
(718) 638-1070
Mailing address
53 PARK PL, BROOKLYN, NY 11217-3207
(347) 921-3623
(718) 638-1070
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
141898
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01448824
—
NY
Enumeration date
03/28/2006
Last updated
07/08/2014
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