Individual provider · Type 1 NPI
Ivy Tan Meneses
Acute Care Nurse Practitioner · Commack, NY
NPI number
1629626221
Active
Practice location
27 Cottonwood Dr
Commack, NY 11725-2420
Mailing address
300 Community Dr
Manhasset, NY 11030-3816
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 431560 (NY) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | F431560-01 (NY) |
Acute Care Nurse Practitioner: Definition to come...
Another provider at this address
Other acute care nurse practitioner providers in Commack
About NPI 1629626221
Ivy Tan Meneses's National Provider Identifier is 1629626221, issued on Aug 28, 2019. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Commack, NY. The record was last updated on Nov 3, 2023.