Individual
DR. MELCHIAS NJINGULULA MUKENDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3511 QUEENS BLVD, SUITES 01 & 02, LONG ISLAND CITY, NY 11101-1720
(718) 433-1015
(718) 433-1019
Mailing address
6115 97TH ST, APT 6F, REGO PARK, NY 11374-1247
(718) 271-7489
(718) 433-1019
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
187870
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02744970
—
NY
Enumeration date
10/17/2006
Last updated
07/08/2007
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