JERALD AGUILA MENDOZA

HEMPSTEAD, NY
NPI1992142558
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  030296)
Enumeration Date2013-05-22
Last Update Date2013-10-21
Business Address
-- JERALD AGUILA MENDOZA PT
717 FRONT ST
HEMPSTEAD, NY 11550-4534
Phone number: 516-565-4370
Mailing Address
-- JERALD AGUILA MENDOZA PT
3 DOSORIS LN
GLEN COVE, NY 11542-1539
Phone number: 516-609-9400