Healthcare Provider Details

I. General information

NPI: 1205693918
Provider Name (Legal Business Name): PINOY CHIROPRACTIC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/29/2024
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 GRAMATAN AVE
MOUNT VERNON NY
10550-3206
US

IV. Provider business mailing address

24 MACKENZIE CT
FREEHOLD NJ
07728-8477
US

V. Phone/Fax

Practice location:
  • Phone: 718-269-9433
  • Fax:
Mailing address:
  • Phone: 718-269-9433
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: RUMMEL MENDOZA
Title or Position: OWNER
Credential:
Phone: 718-269-9433