Menge, Paul

Menge, Paul is an individual health care provider with primary practice located at 4164 Route 2 , Cropseyville NY 12052. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Menge, Paul can be contacted via phone (518) 279-3456.

Contact Information

Primary practice address
4164 Route 2 Cropseyville NY 12052
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 155327-1 New York
Allopathic & Osteopathic Physicians / Adolescent Medicine 207QA0000X 155327-1 New York

Profile Details

NPI number 1619051471
LBN Legal business name Menge, Paul
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Dec 7th, 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 1619051471 NPPES
New York MEDICAID 01160356

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