Meneses, Ivy Tan

Meneses, Ivy Tan is an sole proprietor health care provider with primary practice located at 27 Cottonwood Dr , Commack NY 11725-2420. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Meneses, Ivy Tan can be contacted via phone (631) 875-1851.

Contact Information

Primary practice address
27 Cottonwood Dr Commack NY 11725-2420
Phone: (631) 875-1851
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 431560 New York
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X F431560-01 New York

Profile Details

NPI number 1629626221
LBN Legal business name Meneses, Ivy Tan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 28th, 2019
Last updated Nov 3rd, 2023 - about 2 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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