Individual
JOSE MARIA MEGNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
74 AVALON GARDENS, NANUET, NY 10954-7420
(845) 406-3610
Mailing address
74 AVALON GARDENS DR, NANUET, NY 10954-7420
(845) 406-3610
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
003561
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427123496
—
CA
05
—
1427123496
—
NY
Enumeration date
04/08/2008
Last updated
08/28/2012
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