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Ivy Meneses

NPI 1629626221 · on the registry since 2019 · sole proprietor

Practice

Address
27 Cottonwood Dr
Commack, NY 11725
Phone
(631) 875-1851
Clinicians at this address
2

Registry record

Primary taxonomy
363LA2100X
363LA2100X
Also registered as
207RC0000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-11-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York