Individual
TODD MENIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 COLUMBIA ST, MOUNT KISCO MEDICAL GROUP, PC, POUGHKEEPSIE, NY 12601-3906
(914) 241-1050
(914) 302-8610
Mailing address
110 S BEDFORD RD, MOUNT KISCO MEDICAL GROUP, PC, MOUNT KISCO, NY 10549-3446
(914) 241-1050
(914) 302-8610
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
208183
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03002375
—
NY
01
—
141338471
UNITED HEALTH CARE
NY
01
—
A400136155
PTAN
NY
Enumeration date
04/02/2007
Last updated
07/01/2016
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