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Christian Manuel Mendez

Internal Medicine

Allopathic & Osteopathic Physicians

4500 Parsons Blvd, Flushing, NY 11355-2205

PECOS Enrollment

This provider is enrolled in PECOS as CHRISTIAN MENDEZ.

Based on the most recent information from CMS, provider Christian Manuel Mendez is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1376162412
Provider Type
Individual
Full Name
Mendez, Christian Manuel
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
4/9/2020
Last Updated
12/30/2023

Contact Information

Practice Location

4500 Parsons Blvd, Flushing, NY 11355-2205

(718) 670-5000

Unlisted Fax

Mailing Location

327 Beach 19th St, Far Rockaway, NY 11691-4423

(718) 869-7000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 325159 New York

Christian Manuel Mendez

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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