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Individual

DR. MANUEL A MENDOZA JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
717 FRONT ST, HEMPSTEAD, NY 11550-4534
(516) 565-3534
(516) 565-2745
Mailing address
717 FRONT ST, HEMPSTEAD, NY 11550-4534
(516) 565-3534
(516) 565-2745

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X007741
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
X007741
NYS MED LIC
NY
Enumeration date
01/02/2007
Last updated
07/14/2010
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