MEDICARE: DR. STEVEN L MENDOLA DC

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	111NS0005X	Sports Physician Chiropractor	007032-1	NY

General Provider Information

NPI Number	:	1194708768
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN L MENDOLA DC

Provider Business Mailing Address
First Line	:	3999 RICHMOND AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10312-5112
Country	:	US
Telephone Number	:	718-356-8890
Fax Number	:	718-356-8247

Provider Business Practice Location Address
First Line	:	3999 RICHMOND AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10312-5112
Country	:	US
Telephone Number	:	718-356-8890
Fax Number	:	718-356-8247

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

Provider Enumeration Date	:	11/28/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1336778638 — DR. MIKHAIL BABAYAN DMD
Practice Location Address:

3987 RICHMOND AVE
STATEN ISLAND, NY
10312-5112

Practice Phone: 718-776-4159
Practice Fax:

1992138333 — MRS. RACHEL ANNE CARTER MS SPED
Practice Location Address:

226 WHEELER AVE
STATEN ISLAND, NY
10314-5112

Practice Phone: 646-372-7073
Practice Fax:

1972925212 — GAEA AUTISM INC.
Practice Location Address:

226 WHEELER AVE
STATEN ISLAND, NY
10314-5112

Practice Phone: 646-372-7073
Practice Fax:

1295782712 — L.I.CITY PHARMACY INC.
Practice Location Address:

4469 21ST ST
LONG ISLAND CITY, NY
11101-5112

Practice Phone: 718-729-6300
Practice Fax: 718-729-6392

1740229756 — MISS WOO JUNG CHOI RPH
Practice Location Address:

4469 21ST ST
LONG ISLAND CITY, NY
11101-5112

Practice Phone: 718-729-6300
Practice Fax: 718-729-6392

1952555138 — LAURIE KANZER M.S., SLP, CCC
Practice Location Address:

3636 10TH ST
LONG ISLAND CITY, NY
11106-5112

Practice Phone: 718-361-7464
Practice Fax: 718-361-7464

Directions to “ DR. STEVEN L MENDOLA DC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.