Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 294451-1 | NY |
N | 207VG0400X | Gynecologist | 2020-00177 | NC |
NPI | 1033537345 |
---|---|
Provider Name | Anya V Menzies |
First Address | Stony Brook, NY 11794-8091 |
Second Address | Winston Salem, NC 27157-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2014 |
Last Update Date | 18/11/2020 |