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Individual
GERALD S MENNIN
Active
Individual
GERALD S MENNIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
82673
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00121706
—
NY
01
—
23228P
HIP HEALTH PLAN NY
NY
01
—
4096908
AETNA
NY
01
—
48Z791
EMPIRE BLUE CROSS BLUE SH
NY
01
—
OH4152
HEALTHNET
NY
01
—
WS005
OXFORD HEALTH PLANS
NY
Enumeration date
10/05/2006
Last updated
10/17/2007
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