Individual provider · Type 1 NPI

Ardi Knobel Nuevo Mendoza, MD

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1093397812 Active

Practice location

622 W 168th St
New York, NY 10032-3720

Other practice locations

  • 1 Gustave L Levy Pl, New York, NY 10029-6504 · (212) 824-8069

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000X336660 (NY)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1093397812

Ardi Knobel Nuevo Mendoza, MD's National Provider Identifier is 1093397812, issued on Apr 21, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Jun 28, 2025.