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Ivy Tan Meneses
Acute Care Nurse Practitioner in Commack, New York
NPI 1629626221

Ivy Tan Meneses is an Acute Care Nurse Practitioner based in Manhasset, NY and is specialized in Acute Care. Ivy Tan Meneses practices in Commack, NY. The NPI Number for Ivy Tan Meneses is 1629626221 and holds a License No. 431560 (New York).

The current practice location address for Ivy Tan Meneses is 27 Cottonwood Dr, Commack, NY and can be reached out via phone at 631-875-1851.

Location: 27 Cottonwood Dr, Commack, NY, 11030-3816
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629626221
Provider Name
Ivy Tan Meneses
Credential
Provider Entity Type
Individual
Gender
Female
Address
27 Cottonwood Dr, Commack, NY, 11030-3816
Phone Number
631-875-1851
Fax Number
Provider Enumeration Date
08/28/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
27 Cottonwood Dr
City
Commack
State
New York
Zip
11725-2420
Phone Number
631-875-1851
Fax Number
person
Provider Business Mailing Address Details
Address
27 Cottonwood Dr
City
Commack
State
New York
Zip
11725-2420
Phone Number
631-875-1851
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
F431560-01 (New York)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
431560 (New York)
Definition
Definition to come...
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