Provider Demographics
NPI:1568730422
Name:ARTHUR W MENKEN M.D., PC
Entity Type:Organization
Organization Name:ARTHUR W MENKEN M.D., PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:W
Authorized Official - Last Name:MENKEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-471-3580
Mailing Address - Street 1:35 COLLEGEVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12603-2415
Mailing Address - Country:US
Mailing Address - Phone:845-471-3580
Mailing Address - Fax:845-471-6378
Practice Address - Street 1:35 COLLEGEVIEW AVE
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12603-2415
Practice Address - Country:US
Practice Address - Phone:845-471-3580
Practice Address - Fax:845-471-6378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-07
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY108923-1207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYAM6314075Medicaid
NY047069OtherMVP
NYAM6314075Medicaid