1922193283 NPI number — MENGES & CURTIS LLC

Table of content: (NPI 1922193283)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922193283 NPI number — MENGES & CURTIS LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MENGES & CURTIS LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1922193283
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
472 BROADWAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SARATOGA SPRINGS
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
12866-2212
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
518-584-2046
Provider Business Mailing Address Fax Number:
518-584-1433

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
472 BROADWAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SARATOGA SPRINGS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12866-2212
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-584-2046
Provider Business Practice Location Address Fax Number:
518-584-1433
Provider Enumeration Date:
10/04/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
LENZ
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
ALBERT
Authorized Official Title or Position:
PHARMACIST/OWNER
Authorized Official Telephone Number:
518-584-2046

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X , with the licence number:  038811 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 01950325 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".