Dr. Jorge Mena, DC
Chiropractor in Corona, NY. Individual provider (NPI-1).
NPI number1669935847
StatusActive
Last updated in NPPESApr 13, 2019
Details
- NPI
- 1669935847
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jorge Mena
- Credential
- DC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 13, 2019
- Last updated
- Apr 13, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 007356 | NY | Yes |
Practice location
9632 Corona AveCorona, NY 11368-2733
Phone 917-720-6449
Mailing address
9632 Corona AveCorona, NY 11368-2733
Phone 917-720-6449
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