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Organization
SHELLY MENOLASCINO MD, LLC
Active
Organization
SHELLY MENOLASCINO MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHELLY MENOLASCINO M.D. (DIRECTOR)
(212) 647-9187
Entity
Organization
Contact information
Practice address
37 WASHINGTON SQUARE WEST, SUITE 1D, NEW YORK, NY 10011-9119
(212) 647-9187
(212) 243-1451
Mailing address
37 WASHINGTON SQUARE WEST, SUITE 1D, NEW YORK, NY 10011-9119
(212) 647-9187
(212) 243-1451
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
184909
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01434519
—
NY
Enumeration date
11/03/2014
Last updated
11/03/2014
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