Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | 281109 | NY |
N | 207YP0228X | Pediatric Otolaryngology | D79062 | MD |
NPI | 1124346242 |
---|---|
Provider Name | Dr. David J Mener |
First Address | Tarrytown, NY 10591-5107 |
Second Address | New Rochelle, NY 10801 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2010 |
Last Update Date | 21/08/2019 |