Individual
ALFRED MENARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-7575
Mailing address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-7575
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
005443
NY
363AS0400X
Surgical Physician Assistant
Primary
005443
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02642919
—
NY
Enumeration date
07/06/2006
Last updated
11/08/2022
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