MEDICARE: DAMIAN B MENARD

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	103TS0200X	School Psychologist

General Provider Information

NPI Number	:	1124964325
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAMIAN B MENARD

Provider Business Mailing Address
First Line	:	100 WASHINGTON ST
Second Line	:
City	:	FREEPORT
State	:	NY
Zip	:	11520-3225
Country	:	US
Telephone Number	:	516-765-1046
Fax Number	:	516-765-1046

Provider Business Practice Location Address
First Line	:	100 WASHINGTON ST
Second Line	:
City	:	FREEPORT
State	:	NY
Zip	:	11520-3225
Country	:	US
Telephone Number	:	516-765-1046
Fax Number	:	516-765-1046

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

Provider Enumeration Date	:	04/28/2026
Last Update Date	:	04/28/2026

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Directions to “ DAMIAN B MENARD ” Practice Location

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