MEDICARE: DR. STEVE MENNA DPM

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	213ES0103X	Foot & Ankle Surgery Podiatrist	N003657	NY

General Provider Information

NPI Number	:	1164425427
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVE MENNA DPM

Provider Business Mailing Address
First Line	:	347 5TH AVE
Second Line	:	#1110
City	:	NEW YORK
State	:	NY
Zip	:	10016-5010
Country	:	US
Telephone Number	:	212-629-5090
Fax Number	:	212-629-5118

Provider Business Practice Location Address
First Line	:	347 5TH AVE
Second Line	:	#1110
City	:	NEW YORK
State	:	NY
Zip	:	10016-5010
Country	:	US
Telephone Number	:	212-629-5090
Fax Number	:	212-629-5118

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

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	02/26/2015

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Directions to “ DR. STEVE MENNA DPM” Practice Location

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