Individual provider · Type 1 NPI

Freddy Mendez Jr., PA-C

Medical Physician Assistant · Manhasset, NY

NPI number 1457906398 Active

Practice location

300 Community Dr
Manhasset, NY 11030-3816

Mailing address

5202 111th St
Corona, NY 11368-3307

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1457906398

Freddy Mendez Jr., PA-C's National Provider Identifier is 1457906398, issued on Aug 7, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Manhasset, NY. The record was last updated on Aug 7, 2019.