| Shelly Menolascino Md, Llc | |
|
37 Washington Square West Suite 1d New York NY 10011-9119 | |
| (212) 647-9187 | |
| (212) 243-1451 |
| Full Name | Shelly Menolascino Md, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 37 Washington Square West, New York, New York |
| Authorized Official Name and Position | Shelly Menolascino (DIRECTOR) |
| Authorized Official Contact | 2126479187 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shelly Menolascino Md, Llc 37 Washington Square West Suite 1d New York NY 10011-9119 Ph: (212) 647-9187 | Shelly Menolascino Md, Llc 37 Washington Square West Suite 1d New York NY 10011-9119 Ph: (212) 647-9187 |
| NPI Number | 1831594803 |
|---|---|
| Provider Enumeration Date | 11/03/2014 |
| Last Update Date | 11/03/2014 |
| Medicare PECOS PAC ID | 1153358528 |
|---|---|
| Medicare Enrollment ID | O20050719000032 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831594803 | NPI | - | NPPES |
| 01434519 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 184909 (New York) | Primary |
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