Individual
GERALD S MENNIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
45 LUDLOW ST, SUITE 618, YONKERS, NY 10705-1947
(914) 969-6995
(914) 969-2917
Mailing address
45 LUDLOW ST, SUITE 618, YONKERS, NY 10705-1947
(914) 969-6995
(914) 969-2917
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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