Hispaniola Pediatrics PC

NPI #1770863953 in Corona, New York

Provider Information

NPI Number: 1770863953
Entity Type: Organization
Organization Name: Hispaniola Pediatrics PC
Primary Specialty: Pediatrics
Enumeration Date: Aug 19, 2011
Last Updated: Aug 19, 2011

Practice Location

Address: 4048 JUNCTION BLVD
Address 2: FIRST FLOOR
City: Corona
State: New York
ZIP Code: 11368-2206
Phone: (718) 565-2144

Authorized Official

Name: DR. JOSE MANUEL MENDEZ, M.D.
Title: PRESIDENT
Phone: (718) 565-2144

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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