| Organization Name: | WOODFIELD MEDICAL OFFICE, P.C. |
| NPI Number: | 1134483530 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL ROSARIO MENDOLA (OWNER) |
| Mailing Address: | 135 Woodfield Rd West Hempstead |
| State: | NY US |
| Postal Code: | 115522524 |
| Phone Number: | 5164815277 |
| Fax Number: | 5164815278 |
| NPI Enumeration Date: | 06/29/2012 |
| NPI Last Update Date: | 06/29/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207KA0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Allergy & Immunology |
| Taxonomy Specialization: | Allergy |
| Taxonomy Definition: | |