Doctor Name: | MS. DIANE H MENIER |
NPI Number: | 1104089705 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RPAC |
License Number: | 004965 |
Business Practice Address: | 435 Montauk Hwy South Bay Hematology/ Oncology Pc West Islip, NY - 11754 |
Business Phone Number: | 6314224545 |
Business Fax Number: | |
Mailing Address: | 435 Montauk Hwy, South Bay Hematology/ Oncology Pc WEST ISLIP |
State: | NY |
Postal Code: | 11754 |
Phone Number: | 6314224545 |
Fax Number: | |
NPI Enumeration Date: | 07/03/2008 |
NPI Last Update Date: | 07/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 004965 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |