Individual
DR. MENCIO ANTONIO CHEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1089 KINKEAD AVE, SUITE 201, NORTH TONAWANDA, NY 14120-2840
(716) 694-6284
(716) 694-1322
Mailing address
1089 KINKEAD AVE, SUITE 201, NORTH TONAWANDA, NY 14120-2840
(716) 694-6284
(716) 694-1322
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
193588-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010029601
UNIVERA
NY
01
—
000523652002
BLUE CROSS BLUE SHIELD
NY
05
—
01814020
—
NY
01
—
2207119
INDEPENDENT HEALTH
NY
Enumeration date
07/01/2006
Last updated
07/08/2007
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