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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IVY TAN MENESES

Active Sole Proprietor

IVY TAN MENESES is a Acute Care Nurse Practitioner healthcare provider located in COMMACK, New York. NPI 1629626221 is currently active in the NPPES registry. Verify at CMS.

Acute Care Nurse Practitioner · COMMACK, NY

Registration Details

NPI Number
1629626221
Provider Type
Individual
Gender
Female
NPI Issued
Aug 28, 2019 (6.9759515619449 yrs)
Last Updated
Nov 3, 2023
Licenses
431560 (NY)
F431560-01 (NY)
Sole Proprietor
Yes

Practice Information

Address
27 COTTONWOOD DR
COMMACK, NY, 117252420
Browse NY providers · Browse ZIP 11725
Phone
6318751851
Primary Specialty
Acute Care Nurse Practitioner
363LA2100X
Additional Specialty
Acute Care Nurse Practitioner

Other Acute Care Nurse Practitioner Providers in COMMACK, NY

Name Credential NPI
CAMILLE LYNN LINEBERRY RN, ACNP-BC 1255500625
MS. TERESA M GONCALVES ANP-C 1760641484
MRS. LAUREN ELIZABETH PILATO ACNP 1760823413
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.