Mendoza, Walter Enrique

Mendoza, Walter Enrique is an individual health care provider with primary practice located at 20817 Jamaica Ave , Queens Village NY 11428-1546. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Mendoza, Walter Enrique can be contacted via phone (718) 465-4500.

Contact Information

Primary practice address
20817 Jamaica Ave Queens Village NY 11428-1546
Phone: (718) 465-4500
Fax: (718) 479-6754
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 010611 New York

Profile Details

NPI number 1780703538
LBN Legal business name Mendoza, Walter Enrique
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
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.

Request for update

Popular Providers