Provider Demographics
NPI:1295885499
Name:STEVE MENNA DPM PC
Entity type:Organization
Organization Name:STEVE MENNA DPM PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:MENNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-349-7676
Mailing Address - Street 1:52 DUANE ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10007-1207
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:52 DUANE ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10007-1207
Practice Address - Country:US
Practice Address - Phone:212-349-7676
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2010-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY040426019630OtherMEDICARE DME-PACE
NYP41051Medicare ID - Type UnspecifiedPACE MEDICARE
NY040426019630Medicare PIN
NYT51269Medicare UPIN
NYP1W503Medicare ID - Type UnspecifiedMEDICARE
NY0729060001Medicare NSC
NY0729060002Medicare NSC
NY040426019630OtherMEDICARE DME-PACE
NYT51180Medicare UPIN
NYP38792Medicare ID - Type UnspecifiedMENNA MEDICARE
NYP43232Medicare ID - Type UnspecifiedBOTFELD MEDICARE