Mendoza, Ernesto A
Mendoza, Ernesto A is an sole proprietor health care provider with primary practice located at 40-45 78Th Street , Elmhurst NY 11373. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mendoza, Ernesto A can be contacted via phone (718) 397-9058.Contact Information
Primary practice address
40-45 78Th Street
Elmhurst NY 11373
Phone: (718) 397-9058
Fax: (718) 446-1298
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 152994-1 | New York |
Profile Details
| NPI number | 1770593972 |
|---|---|
| LBN Legal business name | Mendoza, Ernesto A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2006 |
| Last updated | May 19th, 2020 - about 5 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 | 1770593972 | NPPES |
| New York | MEDICAID | 00935126 |
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