Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 275271 | NY |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 275271 | NY |
NPI | 1144462847 |
---|---|
Provider Name | Matthew Samuel Joaquin Mendez-Zfass |
First Address | Brooklyn, NY 11217-4843 |
Second Address | New York, NY 10021-3235 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2009 |
Last Update Date | 25/11/2019 |