Provider Demographics
NPI:1427221480
Name:MENEZES, ALIA (MD)
Entity Type:Individual
Prefix:DR
First Name:ALIA
Middle Name:
Last Name:MENEZES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:535 EAST 70TH STREET HOSPITAL FOR SPECIAL SURGERY
Mailing Address - Street 2:HOSPITALIST OFFICE ROOM 301 WEST
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021
Mailing Address - Country:US
Mailing Address - Phone:212-606-1620
Mailing Address - Fax:212-606-1605
Practice Address - Street 1:535 EAST 70TH STREET HOSPITAL FOR SPECIAL SURGERY
Practice Address - Street 2:HOSPITALIST OFFICE ROOM 301 WEST
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021
Practice Address - Country:US
Practice Address - Phone:212-606-1620
Practice Address - Fax:212-606-1605
Is Sole Proprietor?:No
Enumeration Date:2008-04-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY237977207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine