Organization
MENARDY MENTAL & BODY FITNESS
Active
Other names
Menardy Mental & Body Fitness
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTLE GWENDOYLYN PEREZ (OFFICE MANAGER)
(646) 866-0635
Entity
Organization
Contact information
Practice address
120 N MAIN ST STE 101, NEW CITY, NY 10956-3748
(845) 634-4735
(845) 708-5010
Mailing address
120 N MAIN ST STE 101, NEW CITY, NY 10956-3748
(845) 634-4735
(845) 708-5010
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02916645
—
NY
Enumeration date
08/13/2019
Last updated
08/13/2019
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