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Individual

DR. NELSON SOCORRO MENEZES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
186 JORALEMON ST, SUITE 1002, BROOKLYN, NY 11201-4356
(718) 625-4100
(718) 625-4900
Mailing address
75 88TH STREET, BROOKLYN, NY 11209
(718) 238-2249
(718) 250-8460

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
194948
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01788783
NY
01
20-8604768
EMPLOYER IDENTIFICATION N
NY
Enumeration date
10/03/2006
Last updated
07/18/2012
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