Individual
GUADALUPE MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
627 W 165TH ST, SUITE 515, NEW YORK, NY 10032-3790
(212) 305-9379
Mailing address
627 W 165TH ST, SUITE 515, NEW YORK, NY 10032-3790
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
018857
NY
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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