Individual
STEPHEN M MENITOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 CROSFIELD AVE, SUITE 318, WEST NYACK, NY 10994-2226
(845) 353-5600
(845) 353-5668
Mailing address
20 GRAND ST, 3RD FLOOR, WARWICK, NY 10990-1035
(845) 987-3952
(845) 987-5979
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
1347601
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0020680
GHI HMO
—
05
—
00707906
—
NY
01
—
0D0736
HEALTHNET OF THE NORTHEAS
—
01
—
0X139P
HIP
—
01
—
123214
AETNA USHC
—
01
—
132995699
FAM HEALTH PLUS
—
01
—
2900091
GHI ALL PLANS EXCEPT HMO
—
01
—
358401
BCBS EMPIRE
—
01
—
4229785
AETNA
—
Enumeration date
09/12/2005
Last updated
03/15/2011
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