Mendez, Jose Manuel

Mendez, Jose Manuel is an sole proprietor health care provider with primary practice located at 7902 Roosevelt Ave , Jackson Heights NY 11372-6717. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Mendez, Jose Manuel can be contacted via phone (718) 779-3333.

Contact Information

Primary practice address
7902 Roosevelt Ave Jackson Heights NY 11372-6717
Phone: (718) 779-3333
Fax: (718) 779-4422
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 225192 New York

Profile Details

NPI number 1629050075
LBN Legal business name Mendez, Jose Manuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 18th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629050075 NPPES
New York MEDICAID 02318041

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