Individual
ELLEN MARIE MENOCAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
270 PARK AVE, HUNTINGTON, NY 11743-2787
(631) 351-2000
Mailing address
270 PARK AVE, HUNTINGTON, NY 11743-2787
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
276273
NY
Other
Enumeration date
04/20/2012
Last updated
05/24/2016
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