Individual
UTSMAI MARY MENEZES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-2399
(718) 334-5000
Mailing address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-2399
(718) 334-5000
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
328711
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/08/2020
Last updated
07/15/2025
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