Individual
DEBRA ANN MENESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., D.O.
Contact information
Practice address
SAINT REGIS MOHAWK TRIBE HEALTH SERVICES, 404 STATE ROUTE 37, HOGANSBURG, NY 13655
(518) 358-3141
(518) 358-9175
Mailing address
SAINT REGIS MOHAWK TRIBE HEALTH SERVICES, 404 STATE ROUTE 37, HOGANSBURG, NY 13655
(518) 358-3141
(518) 358-9175
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
257775
NY
207Q00000X
Family Medicine Physician
Primary
257775
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03265556
—
NY
Enumeration date
06/23/2006
Last updated
11/25/2020
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