Mennin, Gerald S

Mennin, Gerald S is an sole proprietor health care provider with primary practice located at 45 Ludlow St Suite 618, Yonkers NY 10705-1947. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Mennin, Gerald S can be contacted via phone (914) 969-6995.

Contact Information

Primary practice address
45 Ludlow St Suite 618 Yonkers NY 10705-1947
Phone: (914) 969-6995
Fax: (914) 969-2917
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 82673 New York

Profile Details

NPI number 1003902156
LBN Legal business name Mennin, Gerald S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2006
Last updated Oct 17th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003902156 NPPES
New York Other 48Z791 EMPIRE BLUE CROSS BLUE SH
New York Other 4096908 EMPIRE BLUE CROSS BLUE SH
New York Other OH4152 EMPIRE BLUE CROSS BLUE SH
New York Other WS005 EMPIRE BLUE CROSS BLUE SH
New York Other 23228P EMPIRE BLUE CROSS BLUE SH
New York MEDICAID 00121706 EMPIRE BLUE CROSS BLUE SH

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