Menachem, Gary Dennis

Menachem, Gary Dennis is an sole proprietor health care provider with primary practice located at 6809 Main St , Flushing NY 11367-1310. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Menachem, Gary Dennis can be contacted via phone (718) 261-3718.

Contact Information

Primary practice address
6809 Main St Flushing NY 11367-1310
Fax: (718) 261-3735
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N3269 New York

Profile Details

NPI number 1639235468
LBN Legal business name Menachem, Gary Dennis
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2006
Last updated Jul 8th, 2007 - about 17 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 1639235468 NPPES
New York MEDICAID 00698320

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