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Individual

EDITH B MENCHAVEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
(212) 241-6768
Mailing address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
(212) 241-6768

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR08941300
NJ
363LA2100X
Acute Care Nurse Practitioner
26NJ00271900
NJ
363LA2100X
Acute Care Nurse Practitioner
Primary
F430766-1
NY

Other

Enumeration date
05/14/2013
Last updated
11/26/2014
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