Individual
LUIS A. MENDOZA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
241 NORTH RD, POUGHKEEPSIE, NY 12601-1154
(845) 431-8220
Mailing address
36 ROSSWAY RD, PLEASANT VALLEY, NY 12569-7356
(914) 456-5479
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
145488
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00972812
—
NY
Enumeration date
07/04/2006
Last updated
08/10/2018
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