Richard S Menjivar, PMHNP
NPI #1841816303 in Stony Brook, New York
Provider Information
- NPI Number
- 1841816303
- Entity Type
- Individual
- Name
- Richard S Menjivar, PMHNP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- General Acute Care Hospital
- Credential
- PMHNP
- Enumeration Date
- Jun 22, 2020
- Last Updated
- Jun 22, 2020
Practice Location
- Address
- 101 NICOLLS RD
- City
- Stony Brook
- State
- New York
- ZIP Code
- 11794-0001
- Phone
- (631) 942-3593
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Acute Care Hospital |
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