Steven L Mendola in Staten Island - Sports Physician
Steven L Mendola - NPI 1194708768
Steven L Mendola is a Sports Physician in Staten Island, New York. Steven L Mendola practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Steven L Mendola is 1194708768. The last update date is 2007-07-08.
Steven L Mendola's current location address is 3999 Richmond Ave, Staten Island, New York. You can contact this provider via phone number 7183568890 and fax number 7183568247. The mailing address for Steven L Mendola is 3999 Richmond Ave, Staten Island, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Steven L Mendola |
|---|---|
| Address | 3999 Richmond Ave, Staten Island, New York |
| Phone Number | 7183568890 |
| Fax Number | 7183568247 |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1194708768 |
|---|---|
| Provider Enumeration Date | 2005-11-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3999 Richmond Ave |
|---|---|
| City | Staten Island |
| State | New York (NY) |
| Post Code | 103125112 |
| Phone Number | 7183568890 |
| Fax Number | 7183568247 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 007032-1 |
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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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Post Comment/ Review Below
What is the unique provider identifier assigned to Steven L Mendola?
The Steven L Mendola has been issued the NPI (National Provider Identifier) 1194708768 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Steven L Mendola is located?
The Steven L Mendola is situated at the following address: 3999 Richmond Ave, Staten Island, NY, 103125112.
What is the Steven L Mendola's specialty and taxonomy code?
The Steven L Mendola's specialty is Sports Physician, and the corresponding taxonomy code is 111Ns0005X.
On what date did the Steven L Mendola receive the assignment of its 1194708768 from the Centers for Medicare & Medicaid Services?
The Steven L Mendola was issued its 1194708768 by the Centers for Medicare & Medicaid Services on 2005-11-28.
When was the information related to Steven L Mendola most recently updated or refreshed?
The details pertaining to the Steven L Mendola, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.