IVY TAN MENESES

COMMACK, NY
NPI1629626221
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: NY  F431560-01)
Additional Taxonomies207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: NY  431560)
Enumeration Date2019-08-28
Last Update Date2023-11-03
Business Address
IVY TAN MENESES
27 COTTONWOOD DR
COMMACK, NY 11725-2420
Phone number: 631-875-1851
Mailing Address
IVY TAN MENESES
300 COMMUNITY DR
MANHASSET, NY 11030-3816
Phone number: 631-875-1851