Individual
MR. MARY ELIZABETH MENESES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 405-8249
Mailing address
20 ELBERT PL, EAST ROCKAWAY, NY 11518-1411
(516) 599-2527
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
304507
NY
Other
Enumeration date
02/23/2007
Last updated
03/03/2017
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