Chez, Mencio Antonio

Chez, Mencio Antonio is an sole proprietor health care provider with primary practice located at 1089 Kinkead Ave Suite 201, North Tonawanda NY 14120-2840. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Chez, Mencio Antonio can be contacted via phone (716) 694-6284.

Contact Information

Primary practice address
1089 Kinkead Ave Suite 201 North Tonawanda NY 14120-2840
Phone: (716) 694-6284
Fax: (716) 694-1322
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 193588-1 New York

Profile Details

NPI number 1083643209
LBN Legal business name Chez, Mencio Antonio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2006
Last updated Jul 8th, 2007 - about 18 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 1083643209 NPPES
New York Other 2207119 INDEPENDENT HEALTH
New York Other 000523652002 INDEPENDENT HEALTH
New York Other 00010029601 INDEPENDENT HEALTH
New York MEDICAID 01814020 INDEPENDENT HEALTH

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