Mennella, Michael Anthony

Mennella, Michael Anthony is an sole proprietor health care provider with primary practice located at 496 Smithtown Byp Suite Ll1, Smithtown NY 11787-5005. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Mennella, Michael Anthony can be contacted via phone (631) 724-6333.

Contact Information

Primary practice address
496 Smithtown Byp Suite Ll1 Smithtown NY 11787-5005
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 191160 New York
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 191160 New York

Profile Details

NPI number 1366574873
LBN Legal business name Mennella, Michael Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 10th, 2007
Last updated Sep 29th, 2023 - about last year

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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