MEDICARE: HANS L MENOS LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	080119	NY

General Provider Information

NPI Number	:	1790114585
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANS L MENOS LCSW

Provider Business Mailing Address
First Line	:	1567 LEXINGTON AVE
Second Line	:	SUITE 22
City	:	NEW YORK
State	:	NY
Zip	:	10029-6217
Country	:	US
Telephone Number	:	908-216-1177
Fax Number	:

Provider Business Practice Location Address
First Line	:	1567 LEXINGTON AVE
Second Line	:	SUITE 22
City	:	NEW YORK
State	:	NY
Zip	:	10029-6217
Country	:	US
Telephone Number	:	908-216-1177
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2013
Last Update Date	:	11/02/2013

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Directions to “ HANS L MENOS LCSW” Practice Location

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