Carroll A Mendonca


Address: 12711 111th Ave, South Ozone Park, NY 11420-1604
Phone: 7188382236

Carroll A Mendonca (NPI# 1871605337, PAC ID# 4486880259) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.

Physician Overview

Nation Provider ID (NPI) 1871605337
PAC ID by PECOS 4486880259
Professional Enrollment ID I20131127000001
Full Name Carroll A Mendonca
Address 12711 111th Ave
South Ozone Park
NY 11420-1604
Phone Number 7188382236
Gender F
Graduation Year 2000
Primary Specialty PHYSICAL THERAPY
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
12711 111th Ave, South Ozone Park, NY 11420-1604 7188382236

Organization Information

Office Location

Street Address 12711 111TH AVE
City SOUTH OZONE PARK
State NY
Zip 11420-1604

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Wayne Blackman Clinical Social Worker New Horizon Counseling Center Inc 10819 Rockaway Blvd, South Ozone Park, NY 11420-1034
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Susan P James Clinical Social Worker New Horizon Counseling Center Inc 10819 Rockaway Blvd, South Ozone Park, NY 11420-1034
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Competitor

Search similar physicians

City SOUTH OZONE PARK
Zip Code 11420
Specialty PHYSICAL THERAPY
City + Specialty SOUTH OZONE PARK + PHYSICAL THERAPY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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