Healthcare Provider Details

I. General information

NPI: 1952375297
Provider Name (Legal Business Name): HOWARD T MENY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/14/2006
Last Update Date: 11/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7785 N STATE ST
LOWVILLE NY
13367-1229
US

IV. Provider business mailing address

7785 N STATE ST
LOWVILLE NY
13367-1229
US

V. Phone/Fax

Practice location:
  • Phone: 315-376-5480
  • Fax: 315-376-5495
Mailing address:
  • Phone: 315-376-5480
  • Fax: 315-376-5495

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number150734
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: