Individual provider · Type 1 NPI

Leonel Ontiveros Mendoza

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

NPI number 1497112627 Active

Practice location

450 Clarkson Ave
Brooklyn, NY 11203-2012

Mailing address

Suny Downstate Medical Center, 450 Clarkson Avenue, Box 1262
Brooklyn, NY 11203

Other practice locations

  • 4610 X St, Sacramento, CA 95817-2200 · (510) 387-1003

Specialties and licenses

TaxonomyCodeLicense
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 1497112627

Leonel Ontiveros Mendoza's National Provider Identifier is 1497112627, issued on Jan 19, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brooklyn, NY. The record was last updated on Dec 22, 2021.