MEDICARE: PHILIP O MENDY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	2025-01131	NC

General Provider Information

NPI Number	:	1013641356
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHILIP O MENDY

Provider Business Mailing Address
First Line	:	8268 164TH ST
Second Line	:
City	:	JAMAICA
State	:	NY
Zip	:	11432-1121
Country	:	US
Telephone Number	:	718-883-2134
Fax Number	:

Provider Business Practice Location Address
First Line	:	8268 164TH ST
Second Line	:
City	:	JAMAICA
State	:	NY
Zip	:	11432-1121
Country	:	US
Telephone Number	:	718-883-2134
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2022
Last Update Date	:	01/15/2026

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Directions to “ PHILIP O MENDY ” Practice Location

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