Mendieta, Jorge

Mendieta, Jorge is an individual health care provider with primary practice located at Cas/Milbank Medical Group 14-32 West 118 Street, New York NY 10026-1904. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mendieta, Jorge can be contacted via phone (212) 369-8339.

Contact Information

Primary practice address
Cas/Milbank Medical Group 14-32 West 118 Street New York NY 10026-1904
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 043265-1 New York

Profile Details

NPI number 1619967379
LBN Legal business name Mendieta, Jorge
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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