Individual
DR. GARY DENNIS MENACHEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
6809 MAIN ST, FLUSHING, NY 11367-1310
(718) 261-3718
(718) 261-3735
Mailing address
6809 MAIN ST, FLUSHING, NY 11367-1310
(718) 261-3718
(718) 261-3735
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N3269
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00698320
—
NY
Enumeration date
12/28/2006
Last updated
07/08/2007
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