National Provider Identifier
Michael Dale Mendoza, MD, MPH
Michael Dale Mendoza, MD, MPH is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Rochester, NY and a listed phone number of (585) 279-4800.
Profile Overview
- NPI
- 1962586149
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- October 25, 2006
- Last Updated
- July 06, 2023
Practice Location
- 777 S Clinton Ave
- Rochester, NY 14620-1448
Phone: (585) 279-4800
Specialties
- Family Medicine Physician (207Q00000X)
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1962586149
- Entity Type
- Individual
- Last Name
- Mendoza
- First Name
- Michael
- Middle Name
- Dale
- Name Prefix
- Dr.
- Credential
- MD, MPH
- Mailing Street Address
- 777 S Clinton Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-1448
- Mailing Country
- US
- Mailing Phone
- (585) 279-4800
- Mailing Fax
- (585) 442-8319
- Practice Street Address
- 777 S Clinton Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-1448
- Practice Country
- US
- Practice Phone
- (585) 279-4800
- Practice Fax
- (585) 442-8319
- Enumeration Date
- October 25, 2006
- Last Updated
- July 06, 2023
- Sex
- Male
- Sole Proprietor
- No
- Taxonomies
- Family Medicine Physician (207Q00000X), Family Medicine Physician (207Q00000X)
- Other Identifiers
- 036113672 (IL, State Of Illinois, Division Of Professional Regulation), A81066 (CA, Medical Board Of California)