Mukendi, Melchias Njingulula

Mukendi, Melchias Njingulula is an sole proprietor health care provider with primary practice located at 3511 Queens Blvd Suites 01 & 02, Long Island City NY 11101-1720. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Mukendi, Melchias Njingulula can be contacted via phone (718) 433-1015.

Contact Information

Primary practice address
3511 Queens Blvd Suites 01 & 02 Long Island City NY 11101-1720
Phone: (718) 433-1015
Fax: (718) 433-1019
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 187870 New York

Profile Details

NPI number 1780764365
LBN Legal business name Mukendi, Melchias Njingulula
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1780764365 NPPES
New York MEDICAID 02744970

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