Individual
ANANADAVALLI MENON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
195-199 W. DOMINICK ST., ROME, NY 13440-5855
(315) 272-2730
(315) 337-0675
Mailing address
293 GENESEE ST., UTICA, NY 13501-3804
(315) 272-2600
(315) 733-8167
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
112914-1
NY
Other
Enumeration date
03/16/2007
Last updated
05/11/2012
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