Walter E. Mendoza Chiropractor, P.C in Freeport - Sports Physician

Walter E. Mendoza Chiropractor, P.C - NPI 1629198908

Walter E. Mendoza Chiropractor, P.C is a Sports Physician in Freeport, New York. Walter E. Mendoza Chiropractor, P.C practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Walter E. Mendoza Chiropractor, P.C is 1629198908. The last update date is 2007-07-23.

Walter E. Mendoza Chiropractor, P.C's current location address is 330 S Long Beach Ave, Freeport, New York. You can contact this provider via phone number 5162134610 and fax number 5162134819. The mailing address for Walter E. Mendoza Chiropractor, P.C is 330 S Long Beach Ave, Freeport, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Walter E. Mendoza Chiropractor, P.C
Address 330 S Long Beach Ave, Freeport, New York
Phone Number 5162134610
Fax Number 5162134819
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CHIROPRACT
Authorized Official Name Mendoza Enrique Walter
Credentials D.C.
Telephone Number 5162134610

NPI Number Detail

NPI Number 1629198908
Provider Enumeration Date 2007-03-30
Last Updated Date 2007-07-23

Provider Mailing Address Detail

Address 330 S Long Beach Ave
City Freeport
State New York (NY)
Post Code 115204345
Phone Number 5162134610
Fax Number 5162134819

Provider's Primary Taxonomy Detail

Speciality Sports Physician
Taxonomy 111Ns0005X
Licence No 10611
Definition:
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP)

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FAQs about Walter E. Mendoza Chiropractor, P.C

What is the unique 10-digit identification code assigned to Walter E. Mendoza Chiropractor, P.C by the Centers for Medicare & Medicaid Services?

The Walter E. Mendoza Chiropractor, P.C has been issued the NPI (National Provider Identifier) 1629198908, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Walter E. Mendoza Chiropractor, P.C's facilities are situated?

The facilities of Walter E. Mendoza Chiropractor, P.C are physically located at the following address: 330 S Long Beach Ave, Freeport, NY, 115204345.

What is Walter E. Mendoza Chiropractor, P.C's area of expertise and its corresponding taxonomy classification?

The Walter E. Mendoza Chiropractor, P.C's field of specialization is Sports Physician, and it falls under the taxonomy code 111Ns0005X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1629198908 to Walter E. Mendoza Chiropractor, P.C?

The Centers for Medicare & Medicaid Services originally issued the 1629198908 to Walter E. Mendoza Chiropractor, P.C on 2007-03-30.

When was the information regarding Walter E. Mendoza Chiropractor, P.C, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Walter E. Mendoza Chiropractor, P.C, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-23.

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