Mendoza, Conchita
Mendoza, Conchita is an individual health care provider with primary practice located at 270 9Th St , Brooklyn NY 11215-3906. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Mendoza, Conchita can be contacted via phone (347) 921-3623.Contact Information
Primary practice address
270 9Th St
Brooklyn NY 11215-3906
Phone: (347) 921-3623
Fax: (718) 638-1070
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 141898 | New York |
Profile Details
| NPI number | 1780644161 |
|---|---|
| LBN Legal business name | Mendoza, Conchita |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2006 |
| Last updated | Jul 8th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780644161 | NPPES |
| New York | MEDICAID | 01448824 |
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