| Doctor Name: | PAUL MENGE |
| NPI Number: | 1619051471 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 155327-1 |
| Business Practice Address: | 4164 Route 2 Cropseyville, NY - 12052 |
| Business Phone Number: | 5182793456 |
| Business Fax Number: | |
| Mailing Address: | 711 Troy Schenectady Rd, Suite 201 LATHAM |
| State: | NY |
| Postal Code: | 121102442 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 10/25/2006 |
| NPI Last Update Date: | 12/07/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0000X |
| License Number: | 155327-1 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adolescent Medicine |
| Taxonomy Definition: | A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |