Organization
DR. EMMANUELA MENA DENTIST , P.C.
Active
Other names
E MENA DDS PC
Organization subpart
No
Provider details
NPI number
Authorized official
ANNY FLORIAN (GENERAL MANAGER)
(212) 740-4040
Entity
Organization
Contact information
Practice address
801 W 181ST ST APT 9, NEW YORK, NY 10033-4518
(212) 740-4040
(212) 740-1155
Mailing address
801 W 181ST ST APT 9, NEW YORK, NY 10033-4518
(212) 740-4040
(212) 740-1155
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
042603
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01182154
—
NY
05
—
01632008
—
NY
05
—
01708901
—
NY
05
—
02366076
—
NY
Enumeration date
05/08/2007
Last updated
06/20/2008
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