| Shoba Menon Md, Pc | |
|
1866 Wading River Manor Rd Wading River NY 11792-2137 | |
| (631) 929-8787 | |
| (631) 929-0350 |
| Full Name | Shoba Menon Md, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1866 Wading River Manor Rd, Wading River, New York |
| Authorized Official Name and Position | Shoba Menon (PHYSICIAN) |
| Authorized Official Contact | 6319298787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shoba Menon Md, Pc P.o. Box 625 Wading River NY 11792-2137 Ph: (631) 929-8787 | Shoba Menon Md, Pc 1866 Wading River Manor Rd Wading River NY 11792-2137 Ph: (631) 929-8787 |
| NPI Number | 1659816213 |
|---|---|
| Provider Enumeration Date | 01/05/2017 |
| Last Update Date | 04/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659816213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (New York) | Primary |
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Marion R Golden Nd Fnp Whnp Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5976 Route 25a, Wading River, NY 11792 Phone: 631-929-9700 Fax: 631-929-9702 | |
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